Substitution of Attorney Form for New Jersey Workers
This file outlines the procedure for substituting an attorney in workers' compensation cases in New Jersey. It includes essential information and instructions for proper completion. Use this form to ensure your legal representation is correctly updated.
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How do I fill this out?
To fill out this form, start by providing the basic details of the case and the parties involved. Ensure that the signatures of the withdrawing and superseding attorneys are included. Finally, submit the completed form to the appropriate division for processing.

How to fill out the Substitution of Attorney Form for New Jersey Workers?
1
Review the case details and ensure accuracy.
2
Fill in the names of the withdrawing and superseding attorneys.
3
Provide the necessary contact information for the firms.
4
Obtain signatures from the relevant attorneys.
5
Submit the form to the Division of Workers' Compensation.
Who needs the Substitution of Attorney Form for New Jersey Workers?
1
Claimants in workers' compensation cases need this form to change their legal representation.
2
Attorneys require this document to formalize their withdrawal and introduce a new attorney.
3
Employers may need this form to ensure they are communicating with the correct legal representative.
4
Insurance companies need the updated information for claims processing.
5
Legal firms might utilize this form to manage cases with multiple attorneys.
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What are the instructions for submitting this form?
To submit this form, you can either mail it to the New Jersey Division of Workers' Compensation at PO BOX 381, Trenton, New Jersey 08625 or fax it to the division at the provided fax number on their official website. Ensure that both attorneys have signed the document before submission. For online submissions, follow the guidelines outlined by the Division for electronically filling and submitting legal forms.
What are the important dates for this form in 2024 and 2025?
Important dates for filing this form typically align with the statutory deadlines for workers' compensation claims. Be sure to check any specific deadlines related to the case's timeline. Always submit forms promptly to avoid delays in legal representation.

What is the purpose of this form?
The purpose of this form is to facilitate the official replacement of one attorney by another in workers' compensation matters. It serves as a legal acknowledgment of the change in representation and ensures that all parties involved are aware of the current attorney handling the case. This process is critical for maintaining accurate communication channels and ensuring compliance with legal obligations.

Tell me about this form and its components and fields line-by-line.

- 1. Claim Petition No.(s): The specific number assigned to the workers' compensation claim.
- 2. Attorney Information: Details regarding the withdrawing and superseding attorneys.
- 3. Signatures: Signature lines for both the withdrawing and superseding attorneys.
- 4. Address: The contact addresses for the attorneys' firms.
- 5. Frequent Filer Code: Optional field for attorneys with frequent filings.
What happens if I fail to submit this form?
Failing to submit this form can result in the retention of the previous attorney, leading to potential miscommunication. Legal representation may not be updated, which could adversely affect case proceedings. Ultimately, it may delay important decisions regarding the claim.
- Miscommunication: Without proper submission, the parties may not receive timely updates.
- Legal Complications: Delays in representation can lead to procedural issues.
- Case Delays: Failure to update legal representation may prolong case resolutions.
How do I know when to use this form?

- 1. Change of Attorney: When an individual selects a new attorney to represent their case.
- 2. Attorney Withdrawal: Utilized by attorneys who are formally stepping down from a case.
- 3. Case Management: Important for maintaining accurate records with the court.
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