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Division of Workers' Compensation
 

Hearings and Transcripts
 

Form

Description

Links to Office of Administrative Courts (OAC) forms are listed below.  The OAC forms are available in "printable" pdf format except for the Application for Indigent Determination which is a fillable format.  File these forms with OAC at 663 17th Street, 13th Floor, Denver, CO 80203.  OAC forms are not filed with the Division of Workers' Compensation.  If you have any questions concerning the OAC forms, please contact OAC at 303-866-2000.
 

Application for Hearing & Notice to Set

Printable

This application is used to request a formal hearing before a judge on issues that are in dispute.
 

Response to Application for Hearing

Printable

This form is used to respond to an Application for Hearing, filed by the opposing party, to add issues, witnesses, etc.
 

Request for Expedited Hearing

Printable

This form is used by the claimant to request an expedited hearing on the issue of whether benefits are owed on a claim that has been denied.  An expedited hearing may be requested within 45 days of the date of the date the carrier denied liability or failed to state a position on the claim.
 

Application for Indigent Determination

(Hearing Transcript)

Form # WC35

Fillable pdf MS Word 

This application is used by a claimant who is unable to pay the fee to obtain a transcript for the purpose of appealing a decision on a claim.

 

 

Photo Disfigurement

Printable

This form is used by the claimant to request that an Administrative Law Judge review photos of permanent scarring, attributable to a work-related injury or disease, for the purpose of determining disfigurement benefits
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