OAC-Form Links

If you need assistance selecting the right form, try the Case Connect Wizard  For additional assistance call 303-866-5881 or oac-dvr@state.co.us for Workers' Compensation question or 303-866-5626 or oac-gs@state.co.us for all other matters.
FORM NAME Instructions

CASE

CONNECT

PDF WORD
GENERAL SERVICES FORMS        
Case Initiation Form (Non-Public Benefit cases)  Revised 7/2015   Case Initiation Form - Case Connect    
Hearing Transcript Request (SHP Only)    
IDEA Mediation Initiation      
Mediation Initiation      
Non-Attorney Representative Authorization  (Medicaid Only)      
Non-Attorney Representative Authorization (non-Medicaid)     
Pleading Template    
Request for State Level Hearing Form Revised 6/2015   Case Connect Request for State Level Hearing Form  
Subpoena - GS  
OFFICE WIDE FORMS:        
Audio Recording Request        

Pleading Submission Revised 6/2015

NOTE:  All Workers' Compensation Motions and Proposed orders must be in Word format (.doc or .docx)  Additionally, we can not currently accept electronic hearing packets/exhibits.

  Case Connect - Pleading Submission Form    
Security Request        
WORKERS' COMPENSATION FORMS:        
Amended Application for Hearing  NEW - CASE CONNECT.   Case Connect - Amended Application for Hearing Form  
Application for Disfigurement Hearing  NEW - CASE CONNECT.   Case Connect - Application for Disfigurement Hearing  
Application for Expedited Hearing  NEW - CASE CONNECT.   Case Connect - Application for Expedited Hearing  
Application for Expedited Hearing One-Time Change of Authorized Treating Physician Currently unavailable.      
Application for Hearing  NEW - CASE CONNECT. Instructions Case Connect - Application for Hearing  

Instructions for Completing the Application for Hearing Form

       
Case Information Sheet  NEW - CASE CONNECT.   Case Connect - Case Information Sheet (CIS)  
Code of Conduct for Interpreters     
Entry of Appearance   NEW - Case Connect   Case Connect - Entry of Apperance Form  
Hearing Cancellation  NEW - Case Connect   Case Connect - Hearing Cancellation Form
Hearing Confirmation   NEW - Case Connect   Case Connect - Hearing Confirmation Form  
Petition to Review and Request for Transcript  NEW - Case Connect   Case Connect - Petition to Review and Transcript Form  
Petition to Review   NEW - Case Connect   Case Connect - Petition to Review Form  
Request for a Disfigurement Award (Photo)          
Request for Specific Finding of Fact    NEW - Case Connect   Case Connect - Request Specific Findings of Fact  
Response to Application for Hearing   NEW - Case Connect   Case Connect - Response to Application for Hearing Form  
Subpoena - WC  
 For additional assistance call 303-866-5881 or oac-dvr@state.co.us for Workers' Compensation question or 303-866-5626 or oac-gs@state.co.us for all other matters.