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Do you need to download files, read the latest issue of Focus, Pinnacol Assurance's policyholder newsletter, or locate Web sites? Click on the appropriate icon to the right to locate the information you need.

  News

 

Changes to Modified Duty Job Offer Process

   Downloads


Here are some important forms and other informational materials you can download as PDF files and print. You will need to include your policy number on each form:

Forms
Division of Workers' Compensation Forms
First Report of Injury Form
Independent Contractor Form

Independent Contractor Form (Spanish Version)

Pinnacol Online Registration Form
Landscape Rules Order Form
Rejection of Coverage by Corporate Officers or Members of a Limited Liability Company

Resource Materials Order Form
SelectNet Medical Provider Designation Form

The following items are available through Pinnacol Assurance's customer service team (1-800-873-7242 or 303-361-4000):

  • Electronic Funds Transfer (EFT) Authorization Form
  • Independent Contractors/Statutory Employers Form
  • "If You Are Injured On The Job" Poster - must be posted at your work site
  • "Notice to Employees" Poster - must be posted at your work site

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Informational Materials
General
Employer's Guide to Workers' Compensation
Who We Are
Workers' Compensation FAQ

Auditing

Auditing Your Policy (Bilingual)
Documentation Required for Subcontractors (Bilingual)
Employee or Independent Contractor (Bilingual)

Claims
Claims Management CD Flyer

Glossary of Claims Terms
Claims and Policy Management at Your Fingertips

Cost Containment Certification
Return-To-Work Program
SelectNet and 24-Hour Injury Reporting

Underwriting
Discounts That Work for You
Experience Modification
Group Short Term Disability Insurance

Loss Prevention

Loss Prevention Services
Video List

Safety Guides


Safety/Fraud Posters

Landscape Safety Rules


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   Newsletter Articles

Focus -

This quarterly newsletter is distributed to Pinnacol's policyholders and is available in PDF format. Click here to download Acrobat Reader.

In the Third Quarter issue:

  • Consistency and Follow-up to Town's Safety, Claims Management Efforts
  • Prevent and Prepare for Accidents Before They Occur
  • Proactive Claims Management Reaps Rewards
  • Pinnacol's Industrial Hygiene Services: Keeping Workplaces Healthy

 

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   Links


Click on the links below for easy access to state and federal government agencies, industry associations, and other organizations.

Colorado Government Agencies
Department of Labor & Employment http://www.coworkforce.com/
- Cost Containment Certification List http://www.coworkforce.com/DWC/PCC
Division of Insurance http://www.dora.state.co.us/Insurance/
Division of Workers' Compensation http://www.coworkforce.com/DWC/
Division of Workers' Compensation Forms http://www.coworkforce.com/DWC/FormsDeskAids/MainForms.asp
Secretary of State http://www.sos.state.co.us/
State Office of Risk Management
http://www.colorado.gov/dpa/dhr/risk/insurance.htm

Federal Government Agencies
Bureau of Labor Statistics - Safety Statistics (BLS) http://www.bls.gov/iif/
Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/
National Institute for Occupational Safety & Health (NIOSH) http://www.cdc.gov/niosh/homepage.html
National Safety Council (NCS) http://www.nsc.org
Occupational Safety & Health Administration (OSHA) http://www.osha.gov/

Industry Associations
American Association of State Compensation Insurance Funds (AASCIF) http://www.aascif.org/
Colorado Association of Commerce and Industry (CACI) http://www.businesscolorado.com/
Colorado Intergovernmental Risk Sharing Agency (CIRSA) http://www.cirsa.org/
Colorado Safety Association (CSA) http://www.coloradosafety.org/
National Council on Compensation Insurance (NCCI) http://www.ncci.com/ncciweb/
National Association of Insurance Women (NAIW) http://www.naiw.org
National Federation of Independent Business (NFIB) http://www.nfib.com/

Other Organizations
American Society of Safety Engineers http://www.asse.org/
American Industrial Hygiene Association http://www.aiha.org/
Rocky Mountain Education Center http://www.rrcc.edu/rmec/

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