MDL Forms

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Last Updated: July 21, 2003

Forms are in Adobe Acrobat (PDF) and Microsoft Word format

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Plaintiff's Fact Sheet

Plaintiff's Fact Sheet
Authorization for the Release of Worker's Compensation and Social Security Records Authorization for the Release of Worker's Compensation and Social Security Records
Authorization for Release of Medical Records (Psychological Injury is Claimed) Authorization for Release of Medical Records (Psychological Injury is Claimed)
Authorization for Release of Medical Records (No Psychological Injury is Claimed) Authorization for Release of Medical Records (No Psychological Injury is Claimed)
Authorization for Release of Employment and Unemployment Records (Psychological Injury is Claimed) Authorization for Release of Employment and Unemployment Records (Psychological Injury is Claimed)
Authorization for Release of Employment and Unemployment Records (No Psychological Injury is Claimed) Authorization for Release of Employment and Unemployment Records (No Psychological Injury is Claimed)

Other Court Forms can be found on the U.S. District Court's Home page.