34 Pa. Code § 121.18 - Subrogation
(a) If an employee
obtains a third-party recovery under section 319 of the act (77 P. S. §
671), a Third Party Settlement Agreement,
Form LIBC-380, shall be executed by the parties.
(b) If credit is requested against future
compensation payable, a Supplemental Agreement for Compensation for Disability
or Permanent Injury, Form LIBC-337, may also be filed with the Bureau,
including the amount and periodic method of pro rata reimbursement of attorney
fees and expenses.
Notes
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