Claim Forms Below # 12 P&L #7 WC
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2019 Workers' Compensation Manual

  1. Colorado Workers' Compensation Basics
  2. Application
  3. Best Practices
  4. Invoice and Declaration Page
  5. Comparison
  6. Coverage Document
  7. Claim Procedures and Forms
  8. Loss Reports & Analysis Exhibits
    • Loss Analysis and Report
  9. Loss Prevention
  10. Intergovernmental Agreement
  11. What to expect from your Broker

Representative Designation Form

Designate a representative and alternate representative for your district using the Representative Designation Form.

Once completed, please submit a scanned copy of the signed form to CSD Pool Administration.

If you prefer, completed forms can also be faxed to (503) 943-6622 or mailed to:

Colorado Special Districts Pool
PO Box 1539
Portland, OR 97207-1539