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Request for Certification for Workers' Compensation - Colorado

Request for Certification for Workers' Compensation - Colorado 2026

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The document outlines the requirements for employers seeking certification in the Colorado Workers’ Compensation Premium Cost Containment Program. It details the necessary documentation and policies that must be in place, including loss prevention programs, safety committees, employee training, and claims management procedures. Employers are required to provide evidence of compliance with these standards for at least one year, along with injury and cost summaries from their insurance carrier.

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Click ‘Get Form’ to open the Request for Certification in the editor.
Begin by entering the Employer Name, FEIN, and Mailing Address. Ensure all details are accurate to avoid processing delays.
Fill in the Insurance Carrier's Name and Policy Number. This information is crucial for your certification request.
Indicate the Nature of Business and Date Program Was Implemented. These fields help establish your compliance with safety protocols.
Attach documentation for each cost containment requirement listed, ensuring they are signed and dated as specified.
Complete Item 7 by summarizing injuries, costs, and employee hours worked over the last three policy periods using the provided chart.
Finally, ensure that all required signatures are included before submitting your completed form along with necessary documentation.

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How does workmans comp work in Colorado?

Workers comp can help make up a portion of their missed wages. In Colorado, employees can receive two-thirds of their average weekly wage. Ongoing care that an employee may need to recover from a work-related injury or illness. Some work-related injuries require more than one treatment session.

Are you required to have workers comp in Colorado?

Colorado employers are required to carry workers compensation insurance if they have one or more employees. This applies to all employers, regardless of whether the employees are part-time, full-time, or family members.

Is Colorado an NCCI state?

Colorado is an NCCI state like most other states. This means that NCCI oversees employers experience modifiers and collects all data for the state including claims, class codes, premiums, and payroll. They analyze this data and make annual recommendations to carriers and to the CO Department of Insurance.

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What is the penalty for not having workers comp in Colorado?

Workers compensation insurance is required for all employers operating in Colorado, with limited exceptions listed on our Independent Contractors and Coverage Exemptions page. If you do not have workers compensation insurance, you can be fined up to $500 for every day you are uninsured.

How do I get workers compensation insurance in Colorado?

How do you buy workers compensation insurance in Colorado? You can purchase workers comp from an authorized commercial insurance company. Larger businesses can opt for self-insurance. You can buy insurance through Colorados state fund.

Are you required to have workers comp in Colorado?

How does workers comp work in Colorado?

Workers compensation insurance provides medical and lost wage benefits to workers who are injured on the job. Unemployment benefits may be available to workers who have lost their job through no fault of their own. A worker does not have to be injured to collect unemployment benefits.

What states are not part of NCCI?

This is a list of the Non-NCCI States: California. Delaware. Indiana. Massachusetts. Michigan. Minnesota. New Jersey. New York.

Request for Certification for Workers' Compensation - Colorado 2026

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