Payroll Statement Form for the period beginning January 1, 2020 and ending June 30, 2020 Forms


Form NamePayroll Statement Form for the period beginning January 1, 2020 and ending June 30, 2020
Form #WC112
Form RevisionRev 06/20
CategoryForms » Financial/Compensation
Downloads
Form StateColorado
LanguageEnglish
State DescriptionThis form is used by self-insured employers to calculate the premium equivalent through the use of NCCI classification code number and payroll.
Claimwire Descriptionn/a
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