APPLICATION** FOR MEMBERSHIP IN IOWA ASSOCIATION
OF WORKERS' COMPENSATION LAWYERS, INC.

Membership Application

If yes, complete the following:

Fee: $155.00/yearly DO NOT SEND MEMBERSHIP FEE WITH THIS APPLICATION UNTIL ACCEPTED AS A MEMBER.

The information furnished as a part of this application will be held in confidence. **See attached portion of the IAWC by-laws for the necessary qualifications of membership.

Monday, December 16, 2019