Form WC193 Request for Disfigurement Award (Photo) - Colorado

Form WC193 Request for Disfigurement Award (Photo) - Colorado

What Is Form WC193?

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.

FAQ

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.

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Form Details:

  • Released on July 1, 2018;
  • The latest edition provided by the Colorado Department of Labor and Employment;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

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

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