Colorado > Workers Comp
Settlement Order WC73 - Colorado
| Settlement Order Form. This is a Colorado form and can be used in Workers Comp . |
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STATE OF COLORADO Division of Workers' Compensation Workers' Compensation Number (s): IN THE MATTER OF THE CLAIM OF Claimant vs Employer, SETTLEMENT ORDER and Insurer, Respondents. The parties filed a settlement agreement, with the claimant's notarized signature dated: . month day year IT IS ORDERED: that the parties' settlement agreement is approved. IT IS FURTHER ORDERED: that payments to the claimant shall be made in accordance with the settlement agreement. Dated this day day of month , year . DIVISION OF WORKERS' COMPENSATION By Director or Administrative Law Judge WC 73 Rev 02/09 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF MAILING: I hereby certify that on the day of 20 , I placed a true and correct copy of the foregoing Settlement Order in the United States mail, postage prepaid, addressed as follows: By: WC 73 Rev 02/09 American LegalNet, Inc. www.FormsWorkFlow.com
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