SD Form 1652 Workers' Compensation Mediation Request - South Dakota

SD Form 1652 Workers' Compensation Mediation Request - South Dakota

What Is SD Form 1652?

This is a legal form that was released by the South Dakota Department of Labor & Regulation - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is SD Form 1652?
A: SD Form 1652 is the Workers' Compensation Mediation Request form in South Dakota.

Q: What is workers' compensation?
A: Workers' compensation provides benefits to employees who are injured or become ill as a result of their job.

Q: Who can use SD Form 1652?
A: SD Form 1652 is used by employees in South Dakota who wish to request mediation for their workers' compensation claim.

Q: What is mediation?
A: Mediation is a process where a neutral third party helps parties in a dispute reach a mutually agreed upon resolution.

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Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the South Dakota Department of Labor & Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of SD Form 1652 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Labor & Regulation.

Download SD Form 1652 Workers' Compensation Mediation Request - South Dakota

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  • SD Form 1652 Workers Compensation Mediation Request - South Dakota, Page 1
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