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HEARING CONFIRMATION

Hearing Information

Worker's Comp. Hearing Dates 

Worker's Comp. Setting Line: (303) 866-5881


WC #-###-###-##









Party Submitting Request






Certificate of Mailing

I hereby certify that I mailed or delivered true and correct copies of the Hearing Confirmation to all parties at the addresses shown below: (A claimant must provide a copy to the employer and the insurer, or their attorney.):

Opposing Party 1 or their Representative









#####

###-###-####


Opposing Party 2 or their Representative









#####

###-###-####


Please type your name in the box below.  By typing your name, you certify that this will act as your binding electronic signature, that this information is accurate, and that you have served this document to the parties identified in the Certificate of Service


Notice
The Office of Administrative Courts will send a Notice of Hearing to attorneys for a party in this action, and to unrepresented parties by e-mail. Please contact the Office of Administrative Courts if you have not received a copy of the notice of hearing within 45 days of the hearing date.
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