Resources for Your Business
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.
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News
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Changes to Modified Duty Job Offer Process
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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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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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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