Form WC77 Notice and Proposal and Application for a Division Independent Medical Examination (Dime) - Colorado

What Is Form WC77?

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 WC77?
A: WC77 is a Notice and Proposal and Application for a Division Independent Medical Examination (DIME) in Colorado.

Q: What is the purpose of WC77?
A: WC77 is used to request a Division Independent Medical Examination (DIME) in Colorado for workers' compensation cases.

Q: When do I need to file WC77?
A: You need to file WC77 within 30 days after receiving the final admission of liability or final order of the administrative law judge.

Q: How do I file WC77?
A: You can file WC77 by completing the form, signing it, and sending it to the Division of Workers' Compensation.

Q: Who can request a DIME using WC77?
A: The injured worker, the employer, or the workers' compensation insurance carrier can request a DIME using WC77.

Q: What happens after filing WC77?
A: After filing WC77, the Division of Workers' Compensation will schedule the DIME and notify all parties involved.

Q: Can I choose the DIME physician?
A: No, the DIME physician is selected by the Division of Workers' Compensation.

Q: What is the cost of a DIME?
A: The cost of a DIME is typically paid by the party requesting the examination.

Q: What is the purpose of a DIME?
A: A DIME is conducted to resolve disputes regarding the extent of impairment, maximum medical improvement (MMI), and related issues in workers' compensation cases.

Q: What should I bring to the DIME?
A: You should bring any medical records, diagnostic tests, or other relevant documents to the DIME appointment.