Trading Partner Insurer List Forms
| Form Name | Trading Partner Insurer List |
| Form # | WC172 |
| Form Revision | 07/02 |
| Category | Jurisdiction Guides/Notices » Jurisdiction Guides/Notices |
| Downloads | |
| Form State | Colorado |
| Language | English |
| State Description | This is an EDI worksheet used by Trading Partners to provide the Division with Sender ID information in the header record of all EDI transactions. |
| Claimwire Description | n/a |