Payroll Statement Form for the period beginning January 1, 2025 and ending June 30, 2025 Forms
| Form Name | Payroll Statement Form for the period beginning January 1, 2025 and ending June 30, 2025 |
| Form # | WC112 |
| Form Revision | REV 06/25 |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Colorado |
| Language | English |
| State Description | This form is used by self-insured employers to calculate the premium equivalent through the use of NCCI classification code number and payroll. |
| Claimwire Description | n/a |