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Colorado Department of Labor and Employment Forms

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Form UITR-3 Unemployment Insurance Quarterly-Report Adjustment - Colorado PDF

Form UITR-3 Unemployment Insurance Quarterly-Report Adjustment - Colorado
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Form UITR-3 Unemployment Insurance Quarterly-Report Adjustment - Colorado PDF

Form UITR-3 Unemployment Insurance Quarterly-Report Adjustment - Colorado
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Form WC6 Entry of Appearance - Colorado PDF

Form WC6 Entry of Appearance - Colorado
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Form WC2 General Admission of Liability - Colorado PDF

Form WC2 General Admission of Liability - Colorado
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Form UITL-5 Request for Seasonal Status - Colorado PDF

Form UITL-5 Request for Seasonal Status - Colorado
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Form UITL-2 Employer Change Request - Colorado PDF

Form UITL-2 Employer Change Request - Colorado
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Form WC1 First Report of Injury - Colorado PDF

Form WC1 First Report of Injury - Colorado
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Form WC35 Application for Indigent Determination (Dime) - Colorado PDF

Form WC35 Application for Indigent Determination (Dime) - Colorado
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Form WC12 Supplemental Report of Return to Work - Colorado PDF

Form WC12 Supplemental Report of Return to Work - Colorado
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Form WC73 Settlement Order - Colorado PDF

Form WC73 Settlement Order - Colorado
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Form WC77 Notice and Proposal and Application for a Division Independent Medical Examination (Dime) - Colorado PDF

Form WC77 Notice and Proposal and Application for a Division Independent Medical Examination (Dime) - Colorado
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Form WC76 Request for Appointment to the Division Independent Medical Examination Panel (Dime) - Colorado PDF

Form WC76 Request for Appointment to the Division Independent Medical Examination Panel (Dime) - Colorado
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Form UITR-13 Unemployment Insurance Payment Election Political Subdivision and Nonprofit Employers - Colorado PDF

Form UITR-13 Unemployment Insurance Payment Election Political Subdivision and Nonprofit Employers - Colorado
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Form WC74 Notice of Contest - Colorado PDF

Form WC74 Notice of Contest - Colorado
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Form WC95 Request for Insurer Information - Colorado PDF

Form WC95 Request for Insurer Information - Colorado
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Form UITL-18 Power of Attorney - Colorado PDF

Form UITL-18 Power of Attorney - Colorado
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Form WC62 Request for Lump Sum Payment - Colorado PDF

Form WC62 Request for Lump Sum Payment - Colorado
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Form UITL-78 Request for Approval of Work-Share Plan - Colorado PDF

Form UITL-78 Request for Approval of Work-Share Plan - Colorado
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Form UITL-39 Employee-Leasing Company Application, Annual Report, and Certification - Colorado PDF

Form UITL-39 Employee-Leasing Company Application, Annual Report, and Certification - Colorado
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Form WC44 Exclusion of Uncompensated Public Officials - Colorado PDF

Form WC44 Exclusion of Uncompensated Public Officials - Colorado
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Form UITR-6a Multiple Quarter Adjustment of Workers' Wages - Colorado PDF

Form UITR-6a Multiple Quarter Adjustment of Workers' Wages - Colorado
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Form UITR-6C Social Security Number Corrections - Colorado PDF

Form UITR-6C Social Security Number Corrections - Colorado
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Form WC34 Request to Erase (Redact) Medical Information From an Audio Recording - Colorado PDF

Form WC34 Request to Erase (Redact) Medical Information From an Audio Recording - Colorado
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Form WC30 Designated Health Care Provider Disclosure Form - Colorado PDF

Form WC30 Designated Health Care Provider Disclosure Form - Colorado
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Form WC15 Workers' Claim for Compensation - Colorado PDF

Form WC15 Workers' Claim for Compensation - Colorado
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Form WC18 Dependent's Notice and Claim for Compensation - Colorado PDF

Form WC18 Dependent's Notice and Claim for Compensation - Colorado
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Form WC37 Petition to Reopen - Colorado PDF

Form WC37 Petition to Reopen - Colorado
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Form WC63 Request for Offset of Liability to Subsequent Injury Fund - Colorado PDF

Form WC63 Request for Offset of Liability to Subsequent Injury Fund - Colorado
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Form WC70 Application for Admission to the Colorado Major Medical Insurance Fund - Colorado PDF

Form WC70 Application for Admission to the Colorado Major Medical Insurance Fund - Colorado
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Form UIB-188 Medical Statement - Colorado PDF

Form UIB-188 Medical Statement - Colorado
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Form WC104 Workers' Compensation Claim(S) Settlement Agreement - Colorado PDF

Form WC104 Workers' Compensation Claim(S) Settlement Agreement - Colorado
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Form WC168 Notice of Change of Carrier or Adjusting Firm - Colorado PDF

Form WC168 Notice of Change of Carrier or Adjusting Firm - Colorado
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Form WC192 Motion to Close Claim for Failure to Prosecute - Colorado PDF

Form WC192 Motion to Close Claim for Failure to Prosecute - Colorado
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Form B-491 Overpayment Waiver Request - Colorado PDF

Form B-491 Overpayment Waiver Request - Colorado
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Form WC179 Division Independent Medical Examination (Dime) Physician Summary Disclosure Form (Insurer or Self-insured Employer) - Colorado PDF

Form WC179 Division Independent Medical Examination (Dime) Physician Summary Disclosure Form (Insurer or Self-insured Employer) - Colorado
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Form WC165 Notice of Dime Negotiations - Colorado PDF

Form WC165 Notice of Dime Negotiations - Colorado
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Form UITL-100 Application for Unemployment Insurance Account and Determination of Employer Liability - Colorado PDF

Form UITL-100 Application for Unemployment Insurance Account and Determination of Employer Liability - Colorado
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Form WC193 Request for Disfigurement Award (Photo) - Colorado PDF

Form WC193 Request for Disfigurement Award (Photo) - Colorado
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Form WC189 Authorization for Release of Information - Colorado PDF

Form WC189 Authorization for Release of Information - Colorado
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Form WC190 Authorization for Release of Limited Information to Third Parties - Colorado PDF

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