The Colorado WC 1 form is the official workers' compensation claim document for the state of Colorado. Employers use it to report workplace injuries and occupational illnesses to their insurance carrier. The form collects the employee's personal information, employment details, injury description, medical treatment information, and wage data needed to process the claim.
Colorado law requires employers to file the WC 1 form within 10 days of receiving notice of a work-related injury. Late or inaccurate reporting can delay the injured worker's benefits and may result in penalties for the employer. Both the employer's representative and the injured worker typically sign the completed form before it is submitted to the insurer. Keep a copy of the completed form for your records as required by Colorado regulations.
| Question | Answer |
|---|---|
| Form Name | Colorado WC 1 – First Report of Injury |
| Also Known As | Colorado First Report of Injury, FROI, Colorado DOL Employer's Report |
| Who Files | Employer (required by law) |
| Filing Deadline | Within 10 days of learning about the injury |
| Submitted To | Workers' compensation insurance carrier |
| Jurisdiction | Colorado |
| Form Length | 2 pages |
| Avg. time to fill out | 10 min |