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This document is a fillable form for requesting a lump sum payment under Colorado Workers Compensation.
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How to fill out wc62 application for lump

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How to fill out WC62 APPLICATION FOR LUMP SUM

01
Obtain the WC62 form from the appropriate authority or website.
02
Carefully read the instructions provided with the form.
03
Fill in your personal information such as name, address, and contact details.
04
Provide details of your employment history and any relevant injury or illness information.
05
Complete the sections related to the specifics of your claim for a lump sum.
06
Include any required supporting documentation, such as medical reports or previous claim records.
07
Review the completed form for accuracy and completeness.
08
Sign and date the application.
09
Submit the application as per the guidelines provided, ensuring to keep a copy for your records.

Who needs WC62 APPLICATION FOR LUMP SUM?

01
Individuals who have sustained work-related injuries or illnesses.
02
Workers seeking compensation for permanent disabilities resulting from job-related incidents.
03
Employees who have been advised by their employer or insurance provider to apply for a lump sum payment.
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People Also Ask about

A final admission of liability is used by an insurance carrier to close a workers' compensation case. If you have received a final admission of liability, you need to act on it right away. Do not ignore the final admission. If you don't do something within 30 days, the case will close.
The following minimum coverages are required by the state, although higher coverages may be purchased: $25,000 for bodily injury or death to any one person in an accident; $50,000 for bodily injury or death to all persons in any one accident; and. $15,000 for property damage in any one accident.
No compensation is payable for the first 3 days' disability unless the period of disability exceeds two weeks. You are entitled to reasonable and necessary medical treatment of compensable injuries or occupational diseases.
Permanent Disability Once you have been placed at Maximum Medical Improvement (MMI), your doctor determines the amount of loss in the form of a percentage. If your doctor is unable to do this, they may refer you to another doctor who can. Impairment is a permanent loss of function of a body part or system.
While you're on Colorado workers' compensation, you receive 66⅔% of your average weekly wage. There is a maximum weekly benefit of 91% of the state average weekly wage. Payments continue until you are able to return to work.
A strict liability crime is a prohibited act that does not require a culpable state of mind. Most conduct in Colorado requires two things for it to be illegal: A wrongful act, and. A wrongful, or culpable, state of mind.

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The WC62 Application for Lump Sum is a form used to request a single payment or lump sum settlement of workers' compensation benefits.
Typically, injured employees seeking a lump sum settlement of their workers' compensation benefits are required to file the WC62 Application for Lump Sum.
To fill out the WC62 Application for Lump Sum, you must provide personal information, details about the injury, the medical treatments received, and the amount of benefits you are requesting.
The purpose of the WC62 Application for Lump Sum is to facilitate the process for workers to receive one-time payment settlements instead of ongoing periodic payments for their workers' compensation claims.
The information that must be reported includes the claimant's details, description of the injury, date of injury, medical treatment history, and any other relevant information to support the lump sum request.
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Colorado Workers Compensation Form WC62 Lump Sum Application PDF Fillable Form State Form Workers Comp Forms Colorado Users

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