This version of the form is not currently in use and is provided for reference only. Download this version of WCC Form C25R for the current year.
This is a legal form that was released by the Maryland Workers' Compensation Commission - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of WCC Form C25R?
A: The purpose of WCC Form C25R is to notify the Workers' Compensation Commission in Maryland of a withdrawal of appearance.
Q: Who needs to use WCC Form C25R?
A: Any party who previously filed an appearance in a workers' compensation case in Maryland, but wishes to withdraw their appearance, needs to use WCC Form C25R.
Q: What information is required on WCC Form C25R?
A: WCC Form C25R requires you to provide the case name, case number, your name, and the reason for withdrawing your appearance.
Q: How should I submit WCC Form C25R?
A: WCC Form C25R should be submitted to the Workers' Compensation Commission in Maryland either by mail or in person.
Q: Are there any fees associated with filing WCC Form C25R?
A: No, there are no fees associated with filing WCC Form C25R.
Q: What should I do after filing WCC Form C25R?
A: After filing WCC Form C25R, you should retain a copy for your records and provide a copy to all interested parties in the case.
Q: Can I use WCC Form C25R to withdraw my appearance in a different state?
A: No, WCC Form C25R is specific to the Workers' Compensation Commission in Maryland and cannot be used to withdraw an appearance in another state.
Form Details:
Download a fillable version of WCC Form C25R by clicking the link below or browse more documents and templates provided by the Maryland Workers' Compensation Commission.