Colorado Department of Labor and Employment Forms

64
total templates

Documents

64

Form WC6 "Entry of Appearance" - Colorado

Rate (4.5 / 5) 11 votes
Size: 124 KB
1 page

Form WC2 "General Admission of Liability" - Colorado

Rate (4.6 / 5) 29 votes
Size: 427 KB
4 pages

Form UITL-5 "Request for Seasonal Status" - Colorado

Rate (4.8 / 5) 24 votes
Size: 30 KB
2 pages

Form UITL-2 "Employer Change Request" - Colorado

Rate (4.5 / 5) 25 votes
Size: 354 KB
2 pages

Form WC1 "First Report of Injury" - Colorado

Rate (4.3 / 5) 32 votes
Size: 1 MB
5 pages

Form WC35 "Application for Indigent Determination (Dime)" - Colorado

Rate (4.8 / 5) 33 votes
Size: 1 MB
4 pages

Form WC73 "Settlement Order" - Colorado

Rate (4.4 / 5) 35 votes
Size: 1 MB
2 pages

Form WC77 "Notice and Proposal and Application for a Division Independent Medical Examination (Dime)" - Colorado

Rate (4.6 / 5) 16 votes
Size: 2 MB
4 pages

Form WC76 "Request for Appointment to the Division Independent Medical Examination Panel (Dime)" - Colorado

Rate (4.5 / 5) 12 votes
Size: 1 MB
2 pages

Form WC74 "Notice of Contest" - Colorado

Rate (4.7 / 5) 81 votes
Size: 102 KB
2 pages

Form WC95 "Request for Insurer Information" - Colorado

Rate (4.6 / 5) 17 votes
Size: 188 KB
3 pages

Form UITL-18 "Power of Attorney" - Colorado

Rate (4.5 / 5) 16 votes
Size: 152 KB
2 pages

Form WC62 "Request for Lump Sum Payment" - Colorado

Rate (4.8 / 5) 75 votes
Size: 112 KB
3 pages

Form UITL-78 "Request for Approval of Work-Share Plan" - Colorado

Rate (4.7 / 5) 18 votes
Size: 26 KB
3 pages

Form UITL-39 "Employee-Leasing Company Application, Annual Report, and Certification" - Colorado

Rate (4.4 / 5) 23 votes
Size: 50 KB
4 pages

Form WC44 "Exclusion of Uncompensated Public Officials" - Colorado

Rate (4.4 / 5) 20 votes
Size: 195 KB
3 pages

Form UITR-6a "Multiple Quarter Adjustment of Workers' Wages" - Colorado

Rate (4.5 / 5) 53 votes
Size: 36 KB
1 page

Form UITR-6C "Social Security Number Corrections" - Colorado

Rate (4.7 / 5) 13 votes
Size: 62 KB
1 page

Form WC34 "Request to Erase (Redact) Medical Information From an Audio Recording" - Colorado

Rate (4.7 / 5) 22 votes
Size: 503 KB
3 pages

Form WC30 "Designated Health Care Provider Disclosure Form" - Colorado

Rate (4.6 / 5) 27 votes
Size: 1 MB
4 pages

Form WC15 "Workers' Claim for Compensation" - Colorado

Rate (4.6 / 5) 12 votes
Size: 19 MB
4 pages

Form WC18 "Dependent's Notice and Claim for Compensation" - Colorado

Rate (4.5 / 5) 22 votes
Size: 17 MB
6 pages

Form WC37 "Petition to Reopen" - Colorado

Rate (4.3 / 5) 13 votes
Size: 3 MB
5 pages

Form WC63 "Request for Offset of Liability to Subsequent Injury Fund" - Colorado

Rate (4.5 / 5) 23 votes
Size: 148 KB
1 page

Form WC70 "Application for Admission to the Colorado Major Medical Insurance Fund" - Colorado

Rate (4.5 / 5) 77 votes
Size: 174 KB
1 page

Form WC168 "Notice of Change of Carrier or Adjusting Firm" - Colorado

Rate (4.4 / 5) 18 votes
Size: 174 KB
1 page

Form WC192 "Motion to Close Claim for Failure to Prosecute" - Colorado

Rate (4.5 / 5) 21 votes
Size: 1 MB
5 pages

Form B-491 "Overpayment Waiver Request" - Colorado

Rate (4.5 / 5) 30 votes
Size: 112 KB
2 pages

Form WC179 "Division Independent Medical Examination (Dime) Physician Summary Disclosure Form (Insurer or Self-insured Employer)" - Colorado

Rate (4.5 / 5) 22 votes
Size: 2 MB
1 page

Form WC165 "Notice of Dime Negotiations" - Colorado

Rate (4.3 / 5) 9 votes
Size: 286 KB
1 page

Form WC193 "Request for Disfigurement Award (Photo)" - Colorado

Rate (4.6 / 5) 22 votes
Size: 68 KB
2 pages

Form WC189 "Authorization for Release of Information" - Colorado

Rate (4.6 / 5) 44 votes
Size: 300 KB
1 page

Form WC190 "Authorization for Release of Limited Information to Third Parties" - Colorado

Rate (4.7 / 5) 28 votes
Size: 483 KB
1 page

Form WC188 "Authorized Treating Provider's Request for Prior Authorization" - Colorado

Rate (4.7 / 5) 17 votes
Size: 231 KB
4 pages

Form WC195 "Notification by an Authorized Treating Provider" - Colorado

Rate (4.8 / 5) 9 votes
Size: 184 KB
1 page

Form WC153 "Fatal Case - Final Admission" - Colorado

Rate (4.8 / 5) 29 votes
Size: 161 KB
2 pages

Form WC174 "Worker's Claim for Compensation Transmittal" - Colorado

Rate (4.4 / 5) 28 votes
Size: 18 KB
1 page

Form WC196 "Rehabilitation Communication Form" - Colorado

Rate (4.3 / 5) 25 votes
Size: 1 MB
2 pages

Form WC134 "Request for Services" - Colorado

Rate (4.8 / 5) 25 votes
Size: 70 KB
1 page