Colorado > Workers Comp
Request For Specific Findings Of Fact And Conclusions Of Law - Colorado
| Request For Specific Findings Of Fact And Conclusions Of Law Form. This is a Colorado form and can be used in Workers Comp . |
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STATE OF COLORADO OFFICE OF ADMINISTRATIVE COURTS In the Matter of the Workers' Compensation Claim of: , Claimant, vs. , Employer, and È COURT USE ONLY È CASE NUMBER: , Insurer, Respondents. WC REQUEST FOR SPECIFIC FINDINGS OF FACT AND CONCLUSIONS OF LAW TO THE OFFICE OF ADMINISTRATIVE COURTS AND ALJ ___________________. The ( Claimant/ Employer/ Insurer) is dissatisfied with the Summary Order of the Administrative Law Judge that was served on the parties on _____________ (date). It is requested that a full order containing specific findings of fact and conclusions of law issue pursuant to Section 8-43-215, C.R.S. (as amended, SB07-258, Section 7). Signature Address 1 Print Name Address 2 Name of Party City, State, Zip Phone Number E-Mail Address Attorney Registration Number facsimile number American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I hereby certify that a true and correct copies of this Request for Specific Findings of Fact and Conclusions of Law were served as follows: To the ALJ at the Office of Administrative Courts by facsimile: Denver Fax (303) 866-5909 Colorado Springs Fax (719) 576-2978 Grand Junction Fax (970) 248-7341 Or by US Mail: 633 17th Street, Suite 1300, Denver, CO 80202 1259 Lake Plaza Drive, Suite 230, Colorado Springs, CO 80906 222 S. Sixth Street, Suite 414, Grand Junction, CO 81501 And to all other attorneys and unrepresented parties on this claim by facsimile, e-mail, or U.S. mail as follows: Dated: ________________________ Signed __________________________ Revised 1/09 American LegalNet, Inc. www.FormsWorkFlow.com
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