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COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT DIVISION OF WORKERS COMPENSATIONApplication for Indigent Determination (DIME) Instructions to the Claimant: You have the right to submit an Application
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How to fill out application for indigent determination

01
Start by obtaining the application form for indigent determination.
02
Read the instructions carefully to understand the requirements and supporting documents needed.
03
Gather all the necessary documents such as proof of income, bank statements, and any other relevant financial records.
04
Fill out the application form accurately and completely, providing all the requested information.
05
Double-check your application form to ensure that there are no errors or missing information.
06
Attach all the required supporting documents to the application form.
07
Submit the completed application form along with the supporting documents to the designated office or organization responsible for indigent determination.
08
Wait for the evaluation process to be completed. This may involve reviewing your financial records and verifying the information provided.
09
Once the evaluation is done, you will receive a determination letter informing you of whether you qualify as indigent or not.
10
If you are determined to be indigent, you may be eligible for certain benefits or assistance programs based on your financial status.

Who needs application for indigent determination?

01
Anyone who is facing financial hardship or unable to afford the necessary expenses like legal fees, healthcare costs, or other essential services can benefit from applying for indigent determination.
02
Individuals who have a low income or are unemployed may also require indigent determination to access certain government or community-based assistance programs.
03
It is important to check the specific eligibility criteria of the program or service you are seeking to avail to determine if applying for indigent determination is necessary.
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Application for indigent determination is a form used to assess an individual's financial status to determine if they qualify for assistance with legal fees.
Individuals who cannot afford to pay for legal fees on their own are required to file an application for indigent determination.
To fill out an application for indigent determination, individuals must provide detailed information about their financial status and income.
The purpose of the application for indigent determination is to ensure that individuals who cannot afford legal fees are provided with the necessary assistance.
Information such as income, assets, expenses, and financial obligations must be reported on the application for indigent determination.
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