Hearing Confirmation

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Hearing Information

Worker's Comp. Hearing Dates 

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


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

(Located on Notice to Set)


(If a staff person of a law office, include both the staffer’s name and the attorney’s name)





Certificate of Mailing
Signature











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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.):

Claimant/Respondent or their Representative









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Employer or their Representative









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Other









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