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CDOT Form 628 Workers' Compensation - Work Status Report - Colorado
What Is CDOT Form 628?
This is a legal form that was released by the Colorado Department of Transportation - 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 CDOT Form 628?
A: CDOT Form 628 is the Workers' Compensation - Work Status Report used in Colorado.
Q: What is the purpose of CDOT Form 628?
A: The purpose of CDOT Form 628 is to report the work status of an employee who is on workers' compensation.
Q: Who uses CDOT Form 628?
A: CDOT Form 628 is used by employers and employees in Colorado who are involved in a workers' compensation claim.
Q: What information does CDOT Form 628 include?
A: CDOT Form 628 includes information about the employee's work restrictions, ability to return to work, and any medical treatment they are receiving.
Form Details:
- Released on June 1, 2003;
- The latest edition provided by the Colorado Department of Transportation;
- 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 printable version of CDOT Form 628 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.
