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.
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.
Form Details:
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.