First Report Transmittal Forms


Form NameFirst Report Transmittal
Form #WC 106
Form RevisionRev. 05/05
CategoryForms » First Report
Downloads
Form StateColorado
LanguageEnglish
State DescriptionThis form is used by the insurer to transmit Employers First Reports of Injury to the Division.
Claimwire Descriptionn/a
Origami Risk
1379 N 1075 W, Suite 226,
Farmington, UT 84025
312.546.6515
info@origamirisk.com

© 2024 Origami Risk. All Rights Reserved.