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Workers' Compensation Act


Please note: Some dimensions changed upon export to PDF from Word.
To ensure precise indexing, it is recommended that you utilize the PDF versions

If you are requesting print copies, please use this version of our WC134 form.



Contact Us

Division of Workers' Compensation
633 17th Street, Suite 400
Denver, CO 80202
1-888-390-7936 (Toll-Free)