Workers Claim For Compensation {WC15} | Pdf Fpdf Doc Docx | Colorado

 Colorado   Workers Comp 
Workers Claim For Compensation {WC15} | Pdf Fpdf Doc Docx | Colorado

Last updated: 2/14/2025

Workers Claim For Compensation {WC15}

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Description

WC15 - WORKER’S CLAIM FOR COMPENSATION. This form is used by employees in Colorado to report work-related injuries or illnesses to the Division of Workers' Compensation. It is the initial step in filing a claim for compensation benefits under Colorado's Workers’ Compensation Act. The form collects essential information about the employee, their employer, the nature of the injury, and medical treatment. It also requires details such as the employee's average weekly wage, injury description, and the accident's occurrence. The form requests information about any occupational diseases or concurrent employment the worker may have had at the time of the injury. The completed form must be submitted to the Division of Workers’ Compensation to initiate the claims process, allowing the insurance carrier to assess liability and determine benefits for medical treatment and lost wages. www.FormsWorkflow.com

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