Substitution of Attorney Form - California

STATE OF CALIFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF WORKERS’ COMPENSATION
WORKERS’ COMPENSATION APPEALS BOARD
CaseNo.
______________________________________________
Applicant
vs.
SUBSTITUTIONOFATTORNEYS
______________________________________________
Defendant(s)
___________________________________________________________________________herebysubstitutesand
appoints____________________________________________________________________ashisattorneyinthe
aboveentitledcase,intheplaceof_________________________________________________________________
whorespectivelyconsenthereto.Acopyhasbeenservedonallpartiesortheirattorneyswheretheyhave
attorneys.
Dated____________________________________. _______________________________________________
(Client)
_______________________________________________
(FormerAttorney)
_______________________________________________
(AddressandTelephoneNumberofAttorney)
_______________________________________________
(PresentAttorney)
_______________________________________________
(AddressandTelephoneNumberofAttorney)
DWC WCAB Form 36 (Rev. 1-99)
Copieshavebeenservedon:
(AdversePartiesandAttorneys)
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