Last updated: 4/26/2024
Certification Of Counsel For Relief From Paying Filing Fee
Start Your Free Trial $ 13.99What 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- Minimize the risk of using outdated forms and eliminate rejected fillings.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
CERTIFICATION OF COUNSEL FOR RELIEF FROM PAYING FILING FEE. This form is used in the State of Florida, within the Division of Administrative Hearings, Office of the Judges of Compensation Claims. It pertains to a workers' compensation case where the appellant, represented by their attorney, is seeking relief from paying the filing fee. The attorney certifies several points: They have investigated the appellant's financial condition and found them to be insolvent. They believe the appellant's position to be meritorious as a matter of law. They have not been paid or promised payment of a fee or other remuneration, except for what may ultimately be approved by the judge of compensation claims to be paid by the employer/carrier if determined by the court. www.FormsWorkflow.com
Related forms
-
Application For Self-Insurance
Florida/Workers Comp/ -
Biographical Statement And Affidavit
Florida/Workers Comp/ -
Certification Of Servicing For Self-Insurers
Florida/Workers Comp/ -
Claim Cost Report
Florida/Workers Comp/ -
Explanation Of Benefits
Florida/Workers Comp/ -
Indemnity Agreement
Florida/Workers Comp/ -
Preferred Worker Reimbursement Request
Florida/Workers Comp/ -
Proof Of Claim
Florida/Workers Comp/ -
Reimbursement Request
Florida/Workers Comp/ -
Report Of Outstanding Workers Compensation Liabilities
Florida/Workers Comp/ -
Request For Screening
Florida/Workers Comp/ -
Self-Insurer Payroll Report
Florida/Workers Comp/ -
Unit Statistical Report
Florida/Workers Comp/ -
Aggregate Claims Administration Change Report
Florida/Workers Comp/ -
Authorization And Request For Unemployment Compensation Information
Florida/Workers Comp/ -
First Report Injury Or Illness
Florida/Workers Comp/ -
Notice of Action-Change
Florida/Workers Comp/ -
Notice of Denial
Florida/Workers Comp/ -
Permanent Total Off-Set Worksheet
Florida/Workers Comp/ -
Permanent Total Supplemental Worksheet
Florida/Workers Comp/ -
Request For Social Security Disability Benefit Information
Florida/Workers Comp/ -
Request For Wage Loss-Temporary Partial Benefits
Florida/Workers Comp/ -
Statement Of Quarterly Earnings
Florida/Workers Comp/ -
Wage Statement
Florida/Workers Comp/ -
Florida Workers Compensation Uniform Medical Treatment-Status Report Form
Florida/Workers Comp/ -
Addendum To Stipulation In Support Of Petition For Order Approving A Lump-Sum Settlement
Florida/Workers Comp/ -
Affidavit In Support Of Attorneys Fees In Excess Of Statutory Guideline
Florida/Workers Comp/ -
Attorney Fee Data Sheet-Washout Settlement
Florida/Workers Comp/ -
Certification Of Counsel For Relief From Paying Costs
Florida/Workers Comp/ -
Clerk Of Court And Comptroller Child Support Enforcement
Florida/Workers Comp/ -
Financial Affidavit In Support Of Verified Petition For Relief From Paying Costs
Florida/Workers Comp/ -
Motion For Approval Of Attorneys Fee And Allocation Of Chid Support Arrearage
Florida/Workers Comp/ -
EDI Trading Partner Insurer-Claim Administrator ID List
Florida/Workers Comp/ -
EDI Trading Partner Profile
Florida/Workers Comp/ -
Request For Assistance (Employee Assistance Office)
Florida/Workers Comp/ -
Health Insurance Claim Form
Florida/Workers Comp/ -
Uniform Statewide Pretrial Stipulation
Florida/Workers Comp/ -
Release Of Any And All Workers Compensation Claims
Florida/Workers Comp/ -
Expert Medical Advisor Certification Application
Florida/Workers Comp/ -
Petition For Resolution Of Reimbursement Dispute
Florida/Workers Comp/ -
Carrier Response To Petition For Resolution Of Reimbursement Dispute
Florida/Workers Comp/ -
Health Care Provider Application For Certification
Florida/Workers Comp/ -
Attorney Fee Data Sheet
Florida/Workers Comp/ -
Attorney Fee Data Sheet Attorney Fee Not In Connection With Settlement
Florida/Workers Comp/ -
Attorney Fee Data Sheet Additional Attorney Fee In Connection With Settlement
Florida/Workers Comp/ -
Employee Earnings Report
Florida/Workers Comp/ -
Department And Student Agreement For Sponsorship Of Training And Education
Florida/Workers Comp/ -
Response To Petition For Benefits
Florida/Workers Comp/ -
Statement Of Charges For Drugs And Medical Supplies
Florida/Workers Comp/ -
Qualified Servicing Entity Annual Report Form
Florida/Workers Comp/ -
Qualified Servicing Entity Application
Florida/Workers Comp/ -
Self-Insurers Irrevocable Letter Of Credit
Florida/Workers Comp/ -
Self-Insurers Surety Bond For FSIGA Member
Florida/Workers Comp/ -
Health Care Provider Violation Referral Form
Florida/Workers Comp/ -
Joint Request For Voluntary Mediation
Florida/Workers Comp/ -
Request For Amount Of Unpaid Support Owed
Florida/Workers Comp/ -
Application For Drug-Free Workplace Premium Credit Program
Florida/Workers Comp/ -
New Hire Reporting
Florida/6 Workers Comp/ -
Application For Governmental Self-Insurance
Florida/Workers Comp/ -
General Release
Florida/Workers Comp/ -
Verified Motion For Assignment Of Substitute Identification Number
Florida/Workers Comp/ -
EDI Transmission Profile-Sender Specifications
Florida/Workers Comp/ -
Request For Public Record Exemption (JCC)
Florida/Workers Comp/ -
Partys Verified Request For Complete EJCC Access To The Partys Case
Florida/Workers Comp/ -
Contact Registration Form
Florida/Workers Comp/ -
Certification Of Counsel For Relief From Paying Filing Fee
Florida/Workers Comp/ -
Petition For Workers Compensation Benefits
Florida/Workers Comp/ -
Request For Assignment Of Case Number
Florida/Workers Comp/ -
Doctors Estimate Of Future Medical Expenses
Florida/Workers Comp/ -
Verified Petition For Relief From Paying Filing Fee
Florida/Workers Comp/ -
Verified Petition For Relief From Paying Costs
Florida/Workers Comp/
Form Preview
Contact Us
Success: Your message was sent.
Thank you!