Sample Application for Adjudication of Claim and Notice of ApplicationDownload Form
At the onset of a case, an Application for Adjudication of Claim is filed on behalf of the injured worker. This allows the workers' compensation court to now have jurisdiction, or the right, to resolve disputes that arise regarding a work injury claim.
Within a few days thereafter, the parties will receive a Notice of Application. This confirms the court received the Application and identifies the court number that will start with the letters “ADJ” and then have five to seven numbers listed thereafter (i.e. ADJ1234567).