Claims Settlement Agreement {WC104} | Pdf Fpdf Docx | Colorado

 Colorado   Workers Comp 
Claims Settlement Agreement {WC104} | Pdf Fpdf Docx | Colorado

Last updated: 1/24/2020

Claims Settlement Agreement {WC104}

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Description

Workers? Compensation Act When applicableinterpreter oneIf advisement is waived, this document must be notarizedFor use by a language interpreter, if necessary:(print name of interpreter) (Signature)

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