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Form WC76 Request for Appointment to the Division Independent Medical Examination Panel (Dime) - Colorado
What Is Form WC76?
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 the WC76 form?A: The WC76 form is the Request for Appointment to the Division Independent Medical Examination Panel (DIME) in Colorado.
Q: What is the Division Independent Medical Examination Panel (DIME)?A: The DIME is a panel of medical professionals that evaluate workers' compensation cases in Colorado.
Q: What is the purpose of the WC76 form?A: The WC76 form is used to request an appointment to the DIME panel for an independent medical examination in a workers' compensation case.
Q: Who needs to fill out the WC76 form?A: The WC76 form is typically completed by injured workers or their legal representatives who are seeking an independent medical examination.
Q: How should the WC76 form be submitted?A: The WC76 form should be submitted to the Division of Workers' Compensation by mail or in person at the appropriate office.
Form Details:
- Released on October 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 WC76 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 WC76 Request for Appointment to the Division Independent Medical Examination Panel (Dime) - Colorado
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