Board Rule 61(b)(41). Form WC-Change of Address. Change of Address
This form is to be used only to change certain addresses of record. For employees, this form only changes the employee's address in a specifically identified claim. For employers and attorneys, this form only needs to be filed once as this form will change information permanently in every claim. Do not file this form if a party's address is correct, but improperly listed in a claim.
- Form WC-Change of Address/Request for Change of Address
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