Form WC168 Notice of Change of Carrier or Adjusting Firm - Colorado

Form WC168 Notice of Change of Carrier or Adjusting Firm - Colorado

What Is Form WC168?

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 Form WC168?
A: Form WC168 is the Notice of Change of Carrier or Adjusting Firm in the state of Colorado.

Q: When should I use Form WC168?
A: You should use Form WC168 when there is a change of carrier or adjusting firm for workers' compensation claims in Colorado.

Q: What information is required in Form WC168?
A: Form WC168 requires information such as the name and contact information of the new carrier or adjusting firm, effective date of the change, and the reason for the change.

Q: Is there a deadline to submit Form WC168?
A: Yes, Form WC168 must be submitted within 10 days of the change of carrier or adjusting firm.

Q: Who should submit Form WC168?
A: The new carrier or adjusting firm is responsible for submitting Form WC168.

Q: Are there any fees associated with submitting Form WC168?
A: No, there are no fees associated with submitting Form WC168.

Q: What happens after submitting Form WC168?
A: Once Form WC168 is submitted, the Colorado Division of Workers' Compensation will update their records accordingly.

Q: Are there any penalties for not submitting Form WC168?
A: Failure to submit Form WC168 within the required timeframe may result in penalties or fines imposed by the Colorado Division of Workers' Compensation.

ADVERTISEMENT

Form Details:

  • Released on May 1, 2019;
  • 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 WC168 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.

Download Form WC168 Notice of Change of Carrier or Adjusting Firm - Colorado

4.4 of 5 (18 votes)
  • Form WC168 Notice of Change of Carrier or Adjusting Firm - Colorado, Page 1
ADVERTISEMENT