Surcharge Collection

Surcharge is a levy on workers' compensation premiums paid by insurers who underwrite workers' compensation insurance coverage in Colorado and employers who are authorized to self-insure. Funds generated by the surcharge are used by the Division of Workers' Compensation to offset the costs of administering the system.

Surcharge is collected bi-annually from insurers, though self-insured employers are excluded from paying PCC surcharge since they are required to include cost containment (workplace safety) practices as part of their eligibility to self-insure.

For more information on surcharge collection, please contact the Division's surcharge officer Iliana Gallegos at 303-318-8767, or via email at iliana.gallegos@state.co.us

Calculate, File & Pay Surcharge button

Calculate and save filing information for up to 30 days with the Division's free surcharge calculator and payment engine. Benefits to using the calculator include:
  • Eliminating unnecessary errors
  • Electronic notary component
  • Confirmation of payment to ensure timely receipt and proof of compliance
  • Confirmation upon completion of the required report for filers who don't owe surcharge

Step-by-Step Instructions for Online Filing

Forms

  • WC112 Payroll Statement (PDF) | (Word)
  • WC113 Surcharge Form (PDF) | (Word)

Self-Insured Filing & Payment Deadlines

Assessment Period Surcharge Rate  Reporting Deadline Payment Deadline
01/01/2018-06/30/2018 1.0 07/31/2018 07/31/2018
07/01/2018-12/30/2018 1.0  01/10/2019 01/31/2019
01/01/2019-06/30/2019 1.45  07/10/2019 07/31/2019

Resources


Contact Us

Iliana Gallegos, Surcharge Officer
303-318-8767

Mailing Addresses:
633 17th Street, Suite 900
Denver, CO 80202