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 at 303-318-8767.

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)

Resources


Contact Us

Brenda Carrillo, Surcharge Officer
303-318-8767