Fillable Printable Worker's Compensation Information - Colorado

Worker's Compensation Information - Colorado

COLORADO WORKERS’ COMPENSATION INFORMATION

our employer has workers’ compensation coverage for employees through:

Workers’ compensation is a type of insurance coverage that employers must provide to their

employees. The cost of workers’ compensation insurance is paid entirely by the employer and

may not be deducted from an employee’s wages.

If you are injured or sustain an occupational disease while at work, you may be entitled to

compensation benefits as provided by law. WRITTEN NOTICE MUST BE GIVEN TO YOUR

EMPLOYER WITHIN 4 WORKING DAYS OF THE ACCI DENT. If you don’t report your

injury or occupational disease promptly your benefits may be reduced.

If you are unable to work as the result of a work-related injury or occupational disease,

compensation (wage replacement) benefits will be based on 2/3 of your average weekly wage up

to a maximum set by law. No compensation is payable for the first 3 days’ disability unless the

period of disability exceeds two weeks.

You are entitled to reasonable and necessary medical treatment of compensable injuries or

occupational diseases. If you notify your employer of an injury or occupational disease and are

not offered medical care, you may select the services of a licensed physician or chiropractor.

You may file a Worker’s Claim for Compensation with the Division of Workers’ Compensation.

To obtain forms or information regarding the workers’ compensation system, you may call

Customer Service at 303.318.8700, or visit our website at: www.coworkforce.com/dwc/

COLORADO DIVISION OF WORKERS’ COMPENSATION

633 17

Street, Suite 400, Denver, CO 80202-3626

Any information provided below comes from your employer and is specific to this place of

employment:

WC49 Rev 11/07