C.M.R. 90, 351, ch. 12, app 351-12-I
__________________________
Administrative Law Judge
STATE OF MAINE WORKERS' COMPENSATION BOARD
_______________________________ __________________________
DOI
v.
__________________________
WCB#
_______________________________
JOINT SCHEDULING MEMORANDUM
1. Name of each witness to be called to testify and the amount of time required for each witness' testimony:
Employee: Employer:
2. Total amount of time required for hearing: _____________.
3. Relief requested, including nature and period of incapacity:
4. Issues, including affirmative defenses:
5. Section 312 examination requested?: Yes No When:___________ With whom:________________________
6. Section 207 examination requested?: Yes No When:___________ With whom:________________________
I represent that I have conferred with opposing parties or their representatives in preparation of this Joint Scheduling Memo and they agree with the contents except as follows:
I affirm that the parties have exchanged information as provided in this chapter.
Dated: ________________________________
Petitioner or Petitioner's Representative
C.M.R. 90, 351, ch. 12, app 351-12-I