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Virginia Court Rules
Virginia Rules of Supreme CourtPart FIVE A - The Court of Appeals
Appendix - Appendix of Forms
Bond for Costs Alone - Appeal of Right From Virginia Workers' Compensation Commission to Court of Appeals (including further appeal to the Supreme Court)

Bond for Costs Alone - Appeal of Right From Virginia Workers' Compensation Commission to Court of Appeals (including further appeal to the Supreme Court)

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As amended through September 26, 2024
Bond for Costs Alone - Appeal of Right From Virginia Workers' Compensation Commission to Court of Appeals (including further appeal to the Supreme Court)

(Virginia Workers' Compensation Commission caption)

Petitioner )
v.) No. ______
Respondent)

The Appellant, ___________, (intending to appeal) (having appealed from) an award of the Virginia Workers' Compensation Commission rendered on ________, 2___, we ____________, as principal and ___________, as surety, bind ourselves, our heirs, successors, personal representatives and assigns, jointly and severally, to Appellee(s), ____________, in the sum of $____, to pay all damages, costs, and fees that may be awarded against (him) (her) (them) (it) in the Court of Appeals and Supreme Court, if it takes cognizance of the claim.