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How to fill out the Pinnacol ZAUCCIF007 online
This guide will assist you in accurately completing the Pinnacol ZAUCCIF007 Declaration of Independent Contractor Status Form online. Ensuring all information is correctly filled out is essential for compliance with the Colorado Workers' Compensation Act.
Follow the steps to complete the Pinnacol ZAUCCIF007 form effectively.
- Press the ‘Get Form’ button to access the document and open it in your online editing tool.
- In the first section, provide the name and trade name of the independent contractor, specifying the type of work they will be performing. Ensure that all provided information is accurate and comprehensive.
- Enter the Social Security or Federal Employer Identification Number of the contractor clearly. This is necessary for identification and tax purposes.
- Fill out the contact information, including the address and phone number of the independent contractor.
- Complete the policyholder section by entering the name, address, policy number, and phone number of the policyholder that the independent contractor will be working with.
- Carefully review the nine criteria regarding the nature of the independent contractor's work relationship with the policyholder. Initial where appropriate to certify that you agree with the statements provided.
- Both the independent contractor and the policyholder must sign the declaration section, certifying that all information is truthful and correct.
- Ensure that the document is notarized, as this is a requirement for the form to be valid. Each party must have their signature witnessed by a notary public.
- Make copies of the completed form for your records. Return the notarized original to Pinnacol Assurance at the specified address.
- Finally, you may choose to save your changes, download a copy, print it, or share the document as necessary.
Complete your Pinnacol ZAUCCIF007 form online today for a smooth submission process.
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Blue Cross Blue Shield (BCBS) in Colorado typically sets a timely filing limit at 90 days for submitting claims. Being mindful of this limit is crucial to ensuring that the claim is processed without issues. As you navigate your claims, especially with Pinnacol ZAUCCIF007, it's a good idea to keep these timelines in mind for a smoother experience.
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