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Workers Comp forms-
- Application for a Division Independent Medical Examination (IME) [WC77]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application for Admission to the Colorado Major Medical Insurance Fund [WC70]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application For Hearing And Notice To Set
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application For Indigent Determination [WC35]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request for Offset of Liability to Subsequent Injury Fund [WC63]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Dependents Notice and Claim for Compensation [WC18]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Final Payment Notice [WC25]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Supplemental Report Of Return To Work [WC12]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Workers Claim For Compensation Transmittal [WC174]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Settlement Order [WC73]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Notice and Proposal to Select an Independent Medical Examiner [WC146]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Entry Of Appearance [WC6]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Payroll Statement Form [WC112]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Trading Partner Insurer List [WC172]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Fatal Case-Final Admission [WC153]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Permanent Work Related Mental Impairment Rating Report Work Sheet [WC-M3-PSYCH]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Exclusion of Uncompensated Public Officials [WC44]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request For Certification [WC109]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Subpoena To Appear And Or Produce
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application For Lump Sum [WC62]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Monthly Summary [WC98]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Third Party Administrator Location List [WC171]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - First Report Transmittal [WC106]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request For Utilization Review [WC131]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Surcharge Form [WC113]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Employers First Report Of Injury [WC1]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Notice Of Change Of Carrier or Adjusting Firm [WC168]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Senders Transmission Profile [WC169]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Notice Of Failed IME Negotiation [WC165]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Fatal Case-General Admission [WC151]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Temporary Partial Disability (TPD) Benefit Worksheet [DK7]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request For A Disfigurement Award
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Workers Claim For Compensation [WC15]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Response To Application For Hearing
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Petition To Reopen [WC37]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Pharmacy Billing Statement [WC-M4-PSYCH]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Hearing Cancellation
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Average Weekly Wage Worksheet [DK1]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Senders Trading Partner Profile [WC170]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Rejection Of Coverage By Corporate Officers Or Members Of Limited Liability Company With Instructions [WC43]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Case Information Sheet (CIS)
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Petition To Modify, Terminate Or Suspend Compensation [WC54]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Notice Of Contest With Instructions [WC74]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - EDI Sender Acceptance Form [WC175]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application For Expedited Hearing
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Final Admission Of Liability [WC4]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Objection To Petition To Modify, Terminate Or Suspend Compensation [WC55]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application For Hearing - Disfigurement Only (Rule 10, OACRP)
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - General Admission Of Liability [WC2]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request For Specific Findings Of Fact And Conclusions Of Law
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request To Erase (Redact) Medical Information From An Audio Recording [WC34]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Workers Compensation Claim(s) Settlement Agreement (Represented Claimant) [WC104]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application For Expedited Hearing - One Time Change Of Authorized Treating Physician
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Authorization For Release Of Information [WC189]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Audio Recording Request
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Settlement Routing Sheet [WC105]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Application For Indigent Determination (IME) [WC35 IME]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Authorization For Release Of Limited Information To Third Parties [WC190]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Division IME Physician Summary Disclosure Form (Claimant) [WC180]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Petition To Review
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Petition To Review And Request For Transcript
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Division IME Physician Summary Disclosure Form (Insurer Or Self-Insured Employer) [WC179]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Hearing Confirmation
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Information Regarding Independent Medical Examination (Advisement For Claimant) [WC36]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Notice Of One-Time Change Of Physician And Authorization For Release Of Medical Information [WC3]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Physicians Report Of Workers Compensation Injury [WC164]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Division IME Examiners Summary Sheet [WC132]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Designated Health Care Provider Disclosure Form [WC30]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request Or Notification For Follow-Up IME [WC178]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Request For Appointment To The Independent Medical Examination Panel [WC76]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Pro Se Settlement Order (For Unrepresented Claimant) [WC102]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Pro Se Workers Compensation Claim(s) Settlement Agreement [WC103]
State: Colorado
Jurisdiction: Workers Comp
Sub-Category: - Rejection Of Coverage By Partners And Sole Proprietors Performing Construction Work On Construction Sites [WC45]
State: Colorado
Jurisdiction: Workers Comp
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