Form WC106 First Report Transmittal - Colorado

Form WC106 First Report Transmittal - Colorado

What Is Form WC106?

This is a legal form that was released by the Colorado Department of Labor and Employment - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Form WC106?
A: Form WC106 is the First Report Transmittal form in Colorado.

Q: What is the purpose of Form WC106?
A: The purpose of Form WC106 is to transmit the First Report of Injury or Illness to the Colorado Division of Workers' Compensation.

Q: Who needs to submit Form WC106?
A: Employers or their insurance carriers are required to submit Form WC106.

Q: When should Form WC106 be submitted?
A: Form WC106 should be submitted within ten days of the employer's knowledge of the injury or illness.

Q: What information is required on Form WC106?
A: Form WC106 requires information about the injured worker, the employer, the insurance carrier, and details of the injury or illness.

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Form Details:

  • Released on May 1, 2005;
  • The latest edition provided by the Colorado Department of Labor and Employment;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WC106 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.

Download Form WC106 First Report Transmittal - Colorado

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