Colorado > Workers Comp

Hearing Cancellation - Colorado

Hearing Cancellation Form. This is a Colorado form and can be used in Workers Comp .
 Fillable pdf Last Modified 8/3/2011
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Office of Administrative Courts 633 17th Street, Suite 1300 Denver, Colorado 80202 Phone (303) 8662000 Fax (303) 8665909 www.colorado.gov/dpa/oac Hearing Cancellation Today's Date: Claimant's Name: Date of Hearing: Time of Hearing: Location of Hearing: WC No: Name of person canceling this Hearing: Check here to certify that you have conferred with the opposing party and that they agree to cancel this hearing Reason for Cancellation: Issue(s) Resolved Case Settled Application Withdrawn Other Email Address: Claimant Respondent Fax No.: Representing: On the day of mailed or personally delivered to: Denver Fax: (303) 866-5909 Colorado Springs Fax: (719) 576-2978 Grand Junction Fax: (970) 248-7341 , 200 , this hearing cancellation was faxed, e-mailed, E-Mail Denver: OAC-DVR@state.co.us E-Mail Colo. Spgs: OAC-CSP@state.co.us E-Mail Grand Jct.: OAC-GJT@state.co.us Mail: Office of Administrative Courts, 633 17th Street, Suite 1300, Denver, CO 80202 Mail: Office of Administrative Courts, 1259 Lake Plaza Dr., Suite 230, Colo. Springs, CO 80906 Mail: Office of Administrative Courts, 222 S. 6th St., Suite 414, Grand Junction, CO 81501 And copies to all parties at the addresses shown below: Claimant/Respondent or their Representative: Employer or their Representative: Other: American LegalNet, Inc. www.FormsWorkFlow.com
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