This form is a case information progress report which details the status of the file.
Colorado Personal Injury Progress Report
State:
Multi-State
Control #:
US-PI-0233
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Personal Injury Progress Report?
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FAQ
The respondents will not pay lost wage benefits until you have missed three shifts from work. This ?waiting period? will be reimbursed if you miss more than two weeks as a result of your injury.
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.
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.
Impairment ratings (IR) assess the severity of a disability and the degree to which an injured worker's injuries will affect future job performance following an on-the-job injury or disease.
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.
In most cases, injured workers in Colorado have two years from the date of an accident to do file their claims. In certain cases, a judge may extend the statute of limitations to three years.
In addition to medical care, you may be entitled to lost wages or permanent disability as a result of the injury. The amount and type of benefits you receive depend on the wages you earned from all employers prior to the injury, your ability to return to work, and the degree of any permanent injury.
Maximum Compensation for Weekly Disability Benefits Date of injury or illnessMaximum weekly disability benefitsJuly 1, 2020 ? June 31, 2021$1,074.22July 1, 2019 ? June 31, 2020$1,022.56July 1, 2018 ? June 31, 2019$987.84July 1, 2017 ? June 31, 2018$948.151 more row
