PDF
Word
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.
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;
- Fill out the form in our online filing application.
Download a fillable version of Form WC193 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Colorado Department of Labor and Employment.
Download Form WC193 Request for Disfigurement Award (Photo) - Colorado
1
2
