This is a legal form that was released by the Colorado Department of Labor and Employment - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is a WC193 form?
A: The WC193 form is a request for a disfigurement award in the state of Colorado.
Q: What is a disfigurement award?
A: A disfigurement award is financial compensation given to a worker who has suffered permanent disfigurement or scarring as a result of a work-related injury.
Q: What information is required on the WC193 form?
A: The WC193 form requires personal information, details about the disfigurement or scarring, medical information, and documentation such as photographs.
Form Details:
Download a fillable version of Form WC193 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.