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Fill and Sign the Prehearings and Settlementscolorado Department of Labor Form

Fill and Sign the Prehearings and Settlementscolorado Department of Labor Form

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Dated this STATE OF COLORADO EXECUTIVE DEPARTMENT Workers' Compensation Number (s): IN THE MATTER OF THE CLAIM OF ClaimantvsEmployer,SETTLEMENT ORDER an d Insurer,Respondents.The parties filed a stipulation for settlement, with the claimant's notarized signature dated: ImonthdayyearThe undersigned has reviewed this stipulation and finds from a review of the file, it would be in the best interests of the parties that the stipulation be approved and payment be made in accordance herewith. IT IS THEREFORE ORDERED: that the parties' stipulation for settlement is approved. IT IS FURTHER ORDERED: that payments to the claimant shall to be made in accordance with the stipulation. day of IdaymonthyearDIVISION OF WORKERS' COMPENSATION ByDirector or Administrative Law Judge WC 73 Rev 6/97

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How to Sign a PDF on Android How to Sign a PDF on Android

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