EDI Workers' Claim for Compensation Transmittal Forms
| Form Name | EDI Workers' Claim for Compensation Transmittal |
| Form # | WC 174 |
| Form Revision | Rev. 01/17 |
| Category | Forms » Board/Commission/Division |
| Downloads | |
| Form State | Colorado |
| Language | English |
| State Description | This form is used by attorneys to submit Worker's Claims for Compensation and should be accompanied by an Entry of Appearance Form (WC6). |
| Claimwire Description | n/a |