Admission
of Liability |
- A
written statement by an insurer accepting responsibility for payment of
workers’ compensation benefits outlined in the admission.
|
|
Claimant |
- A worker or a dependent of a deceased worker pursuing
a claim for benefits under the Colorado Workers’ Compensation Act.
|
|
Carrier |
- An insurance company that provides (underwrites)
workers’ compensation insurance coverage.
|
|
Director |
- The Director of the Colorado Division of Workers’
Compensation.
|
| Division |
- The Colorado Division of Workers’ Compensation.
|
|
EDI
|
- Electronic Data Interchange.
This signifies the electronic transmission of information between
businesses.
|
|
Insurer |
- Insurance company or self-insured employer.
For purposes of this section, insurer may include a third party administrator adjusting claims on
behalf of insurance company or self-insured employer.
|
| Liability |
- Responsibility for payment of benefits.
|
| Offset |
- Something that takes the place of something else. Party - A person or group representing one side of a question
or dispute, such as in the case of an employer or a claimant.
|
| Petition |
- A formal request.
|
| Fillable pdf |
- Adobe Reader is used
for this form.
You may type in the form on your computer and print.
|
| Printable
Only pdf |
- Print the form only.
|
| MS Word |
- Save the form onto your computer's hard drive and print.
|
