Petition to Review & Request Transcript

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In the Matter of the Workers' Compensation Claim of: 



Vs





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


TO THE DENVER OFFICE OF ADMINISTRATIVE COURTS


The



Set forth in detail the particular alleged errors and your objections to the order.
Transcript Request

The Petitioner requests that a transcript(s) of the hearing to be prepared and included as part of the record for the Petition to Review.  If requesting a partial transcript, also indicate the approximate ending time and description.










The Petitioner requests that the Office of Administrative Courts transmit the audio recording of the hearing to the following for preparation of the transcript.


NOTICE:  A  list  of  firms  that  have  indicated  a  willingness  to  prepare  transcripts  of  Workers’ Compensation  hearings  is  available  on  the  OAC  website:  http://www.colorado.gov/dpa/oac/forms-WC.htm.    The  Petitioner  is  responsible  for  arranging  for payment  of  the  transcript,  including  paying  any  deposit  required  by  the  court  reporter  or transcriptionist, and requesting an extension of time if the transcript will not be completed within 25 working days of the date the audio recording is sent to the court reporter or transcriptionist. If the original transcript is not timely filed, the request for the transcript will be stricken, a notice and briefing schedule will issue, and the transcript will not be part of the record on review.


Court reporter or transcriptionist who does not have an interest in the case:






C. Certificate of Mailing
Signature











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I hereby certify that a true and correct copy of this document has been delivered to the ALJ and to the following parties, at the addresses shown and on the date below:


This Petition to Review must be filed with the Denver Office of Administrative Courts.  A Petition to Review filed in another office of the OAC will not be accepted for filing.


Office of Administrative Courts

1525 Sherman, 4th Floor

Denver, CO 80203

Claimant/Respondent or their Representative









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Employer or their Representative









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Other









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