Form WC30 Designated Health Care Provider Disclosure Form - Colorado

Form WC30 Designated Health Care Provider Disclosure Form - Colorado

What Is Form WC30?

This is a legal form that was released by the Colorado Department of Labor and Employment - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the WC30 Designated Health Care Provider Disclosure Form?
A: The WC30 Designated Health Care Provider Disclosure Form is a document used in Colorado to disclose the designated health care provider for workers' compensation claims.

Q: Why is the WC30 Designated Health Care Provider Disclosure Form required?
A: The form is required to inform injured workers in Colorado of their right to choose a health care provider for their workers' compensation treatment.

Q: Who needs to complete the WC30 Designated Health Care Provider Disclosure Form?
A: The form must be completed by the insurance carrier or employer and provided to the injured worker.

Q: What information is included in the WC30 Designated Health Care Provider Disclosure Form?
A: The form includes the name and contact information of the designated health care provider chosen by the insurance carrier or employer.

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Form Details:

  • Released on November 1, 2007;
  • The latest edition provided by the Colorado Department of Labor and Employment;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WC30 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.

Download Form WC30 Designated Health Care Provider Disclosure Form - Colorado

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