Petition to Modify for Workers' Compensation - Colorado 2026

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  1. Click ‘Get Form’ to open the Petition to Modify in the editor.
  2. Begin by entering your personal information in the 'Claimant' section, including your Workers’ Compensation Number and Social Security Number.
  3. Fill in the details of your employer and insurer, including their names and carrier numbers.
  4. Indicate the current compensation rate you are receiving for your disability. Specify the amount per week and who is currently receiving this compensation.
  5. Select whether you are requesting to modify, terminate, or suspend compensation by checking the appropriate box and providing the relevant dates for this request.
  6. In the section labeled 'The facts upon which the petitioner relies are as follows:', provide a detailed explanation supporting your request.
  7. List any witnesses you plan to call if this matter goes to hearing.
  8. Complete the certificate of mailing section, ensuring copies of this petition are sent to all required parties.

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A mod rate of 1.0 is considered the industry average. This means a good experience modification rate will be anything below a 1.0 rating. However, the average can change depending on the industry the business is in. Some riskier businesses might average out above a 1.0 rating.
The Colorado Division of Workers Compensation recently revised Rule 16: Utilization Standards from the Workers Compensation Rules of Procedure, which defines the standard to be used in implementing the Medical Treatment Guidelines (MTG) and the Medical Fee Schedule with terminology, administrative procedures and
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.
Seven ways to obtain the best workers compensation settlement possible include: Letting your employer know you were injured. Getting medical care as soon as possible. Filing your workers comp claim. Understanding how disability rating works. Never trusting or providing a recorded statement to the insurance company.
What is the Experience Modification Factor? Your experience mod is a numerical representation of your claims history. It is the ratio of the costs of your companys actual workers compensation claims compared to the expected costs for companies of similar size in the same industry.

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