§ Form No. 10 Response to petition for review
Form No. 10. Response to petition for review
IN THE SUPREME COURT OF THE STATE OF OKLAHOMA
___________________________________ )
___________________________________, )
)
Petitioner, )
v. ) No. _______________
)
___________________________________ )
____________________, and )
THE WORKERS' COMPENSATION )
COURT, )
)
Respondents. )
RESPONSE TO PETITION FOR REVIEW
A. If other than entire transcript is designated by petitioner, estimate number of additional pages needed: _______
B. Respondent's brief statement as to proceeding:
Exhibit “A” attached (not to exceed one 8 1/2 ” x 11” double spaced page).
DATE: _______________, 19___.
Verified by: ___________________________________________
(Signature of Attorney or Pro Se Party)
OBA No.: ___________________________________________
Firm: ___________________________________________
Address: ___________________________________________
___________________________________________
___________________________________________
Telephone: ___________________________________________
CERTIFICATE OF FILING AND MAILING
I _______, do hereby certify that on this ____ day of _______, 19___, I did cause to be filed with the Workers' Compensation Court, a correct copy of the Response to the Petition for Review in Error, and also mailed a copy by first class mail, postage prepaid to:
[Names and addresses of all parties or counsel of record]
________________________________________________________________________________
Adopted July 10, 1996
Effective January 1, 1997
Heading renumbered by order of May 5, 2005, which added a new Part IX.
END OF DOCUMENT