Colorado Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State

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Description

Workers' compensation laws are designed to ensure payment by employers for
some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work. Worker's compensation legislation requires the employer to furnish a reasonably safe place to work, suitable equipment, rules and instructions. State workers' compensation statutes vary by state. The Federal Employment Compensation Act covers non-military federal employees or those workers employed in some significant aspect of interstate commerce.


The compensation acts require that notice of the fact of injury be given to the employer, or to the compensation board or commission, or to the insurance carrier, or to all of them. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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FAQ

Injured Worker Reporting Responsibilities Within 10 working days of the injury, the injured worker must let their employer know about the injury. This must be done in writing. If the worker was injured more than 10 days ago, they should still notify their employer in writing as soon as possible.

No compensation is payable for the first 3 days' disability unless the period of disability exceeds two weeks. You are entitled to reasonable and necessary medical treatment of compensable injuries or occupational diseases.

Under any of these circumstances, the employee is probably entitled to file a Workers' Comp claim for the accident. However, employees who fall under the ?coming and going? rule?those who are traveling on a public road, going to or coming home from work?may find an accident falls outside the course of their employment.

First Report of Injury/Notice of Contests When a worker is injured or has an occupational disease that results in more than three days/shifts of lost time, permanent impairment, or death, the insurance carrier must file a First Report of Injury (FROI) with the Division of Workers' Compensation (DOWC) within 10 days.

The statute of limitations for a workers' compensation claim ? or the maximum time after an event that legal action can be initiated ? is 2 years in most cases. The only way for this deadline NOT to apply to you is to file a claim with the DOWC.

Injured Worker Reporting Responsibilities Within 10 working days of the injury, the injured worker must let their employer know about the injury. This must be done in writing. If the worker was injured more than 10 days ago, they should still notify their employer in writing as soon as possible.

How does OSHA define a recordable injury or illness? Any work-related fatality. Any work-related injury or illness that results in loss of consciousness, days away from work, restricted work, or transfer to another job. Any work-related injury or illness requiring medical treatment beyond first aid.

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Colorado Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State