Workers Compensation Forms

This page contains helpful links to some of the forms needed to pursue a workers compensation claim in Colorado.

Basic Claims Process. This guide is published by the Colorado Division of Workers Compensation. It provides helpful information on how a claim goes forward.

Claim form. This form provides notice of the injury to the insurance company and the Division of Workers Compensation.

Application for Hearing. This is filed to request a hearing before the Office of Administrative Courts.

Request for Expedited Hearing. Under some circumstances, a hearing can be expedited. However, expedited hearings are often postponed which can delay a hearing beyond the date it would have occurred if you had gone through the normal hearing process.

Notice and Proposal to Select Independent Medical Examiner. This form is used by a party to initiate a request for a Division Independent Medical Exam (IME) and to propose the name of a physician to perform the exam.

Application for Division Independent Medical Examination. After filing a Notice and Proposal (Form WC146), this application is used by a claimant or insurer to request and Independent Medical Examination (IME) through the Division for a determination of Maximum Medical Improvement (MMI), permanent impairment, or both.

Application for Indigent Determination (IME). This application is used by claimants who can’t afford to pay the fees for a Division IME.

Call the Eley Law Firm today at 866.458.6360 for a free case evaluation from a workers compensation attorney. You may also e-mail us or fill out the form on the Contact Us page of this website, and a representative from the office will be in touch with you shortly. We look forward to hearing from you and helping with your workers comp case!