Colorado Workers' Compensation Information Form
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COLORADO WORKERS’ COMPENSATION INFORMATION
Your employer has workers’ compensation coverage for employees through:

Workers’ compensation is a type of insurance coverage that employers must provide to their
employees. The cost of workers’ compensation insurance is paid entirely by the employer and
may not be deducted from an employee’s wages.
If you are injured or sustain an occupational disease while at work, you may be entitled to
compensation benefits as provided by law. WRITTEN NOTICE MUST BE GIVEN TO YOUR
EMPLOYER WITHIN 4 WORKING DAYS OF THE ACCIDENT. If you don’t report your
injury or occupational disease promptly your benefits may be reduced.
If you are unable to work as the result of a work-related injury or occupational disease,
compensation (wage replacement) benefits will be based on 2/3 of your average weekly wage up
to a maximum set by law. No compensation is payable for the first 3 days’ disability unless the
period of disability exceeds two weeks.
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