worker-comp-law_W2_A2

Law Offices

123 Main St.

Anytown, CA 11001

February 6, 2017

Workers Compensation Board

100 Maple St.

Anytown, CA 11001

Re: Appearance, Mary Peterson v. Employer A

To Whom It May Concern:

(Student inserts text here regarding attorney appearance)

Sincerely,

Name

Title

I hereby certify that a copy of the foregoing was served on (Insert parties who were served) via first class mail postage prepaid.

___________________________

Signature

___________________________

Date