This is a notification that an action has been commenced before the Workers’ Compensation Commissioner seeking relief under the Chapters of the Iowa Code relating to workers’ compensation, occupational disease and occupational hearing loss (Chapters 85, 85A, 85B, 86, and 87). A hearing will be held in the judicial district indicated in No. 12 below. You are required to file an answer within 20 days of the receipt of this document or to otherwise move or respond as provided by rule 876-4.9 of the Workers’ Compensation Commissioner’s Rules. Failure to comply may result in the imposition of the sanctions of Workers’ Compensation Commissioner’s rule 876-4.36 such as barring you from further activity for failure to appear and respond as required.