Application To Defer Filing Fees Financial Affidavit And Order {14-0075} | Pdf Fpdf Doc Docx | Iowa

 Iowa   Workers Compensation 
Application To Defer Filing Fees Financial Affidavit And Order {14-0075} | Pdf Fpdf Doc Docx | Iowa

Last updated: 9/19/2023

Application To Defer Filing Fees Financial Affidavit And Order {14-0075}

Start Your Free Trial $ 21.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

Form 14-0075 - APPLICATION TO DEFER PAYMENT OF FILING FEES AND FINANCIAL AFFIDAVIT. This form is used in Iowa Workers' Compensation cases to request permission from the Iowa Workers' Compensation Commissioner to defer payment of filing fees in a workers' compensation case. The form includes information about the claimant's financial situation, such as income, household expenses, and assets. It also includes a certification that the claimant is unable to pay the filing fees and is filing the application in good faith. The claimant or their representative must sign the form under penalty of perjury, certifying that the information provided is true and correct. Additionally, there is a section for a certificate of service to indicate that a copy of the application and affidavit was served on the other party or their attorney. www.FormsWorkflow.com

Related forms

Our Products