Notice of Contest Form - EDI Forms
| Form Name | Notice of Contest Form - EDI |
| Form # | WC74 |
| Form Revision | Rev 09/18 |
| Category | Forms » Legal/Fraud |
| Downloads | |
| Form State | Colorado |
| Language | English |
| State Description | This form is used by the insurer to deny liability responsibility for workers' compensation benefits. |
| Claimwire Description | n/a |