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Fill and Sign the Supplemental Report Form

Fill and Sign the Supplemental Report Form

How it works

Select the supplemental report sample and open it.
Fill out the form and add an eSignature.
Save the supplementary report example, print, or email it.

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Colorado Workers’ Compensation Supplemental Report of Return To Work Workers’ Compensation (WC) # Date of Injury Employee Name Carrier Claim # Social Security # Employer Purpose: The purpose of this form is to provide information to determine the accurate payment of temporary disability benefits. Instructions: 1. This form may be completed by the employee or employer. 2. This form should be completed each time the employee returns to work at full or reduced wages. 3. This form should be forwarded to your workers’ compensation carrier. 1. Last day employee worked 2. Date employee returned to work 3. Employee’s return-to-work-wages (Check the box that applies) □ Full Wages □ Reduced Wages (Provide wage information to the claims adjuster every 2 weeks during periods of wage loss) Additional Information Completed by (Check the box that applies) □ Employee □ Employer Name Date Address Phone # ( ) Fax # ( ) WC12 Rev 07/03

Practical advice on preparing your ‘Supplemental Report’ online

Are you fatigued from the inconvenience of handling paperwork? Look no further than airSlate SignNow, the premier eSignature platform for individuals and small to medium-sized businesses. Bid farewell to the lengthy process of printing and scanning documents. With airSlate SignNow, you can seamlessly complete and sign documents online. Take advantage of the powerful features integrated into this intuitive and cost-effective platform and transform your document management approach. Whether you need to authorize forms or gather signatures, airSlate SignNow manages everything effortlessly, with just a few clicks.

Follow this comprehensive guide:

  1. Log into your account or register for a free trial with our service.
  2. Click +Create to upload a file from your device, cloud storage, or our template library.
  3. Open your ‘Supplemental Report’ in the editor.
  4. Click Me (Fill Out Now) to ready the form on your end.
  5. Insert and designate fillable fields for others (if necessary).
  6. Continue with the Send Invite settings to request eSignatures from others.
  7. Save, print your copy, or convert it into a multi-usable template.

No need to worry if you need to collaborate with your teammates on your Supplemental Report or send it for notarization—our platform offers everything you require to accomplish such tasks. Sign up with airSlate SignNow today and elevate your document management to new heights!

Here is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

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The best way to complete and sign your supplemental report

Save time on document management with airSlate SignNow and get your supplemental report eSigned quickly from anywhere with our fully compliant eSignature tool.

How to Sign a PDF Online How to Sign a PDF Online

How to complete and sign documents online

In the past, dealing with paperwork took lots of time and effort. But with airSlate SignNow, document management is quick and easy. Our robust and user-friendly eSignature solution lets you easily complete and electronically sign your supplemental report form online from any internet-connected device.

Follow the step-by-step guide to eSign your supplemental report form template online:

  • 1.Sign up for a free trial with airSlate SignNow or log in to your account with password credentials or SSO authentication.
  • 2.Click Upload or Create and add a form for eSigning from your device, the cloud, or our form catalogue.
  • 3.Click on the document name to open it in the editor and use the left-side toolbar to fill out all the blank areas properly.
  • 4.Place the My Signature field where you need to eSign your sample. Provide your name, draw, or import an image of your regular signature.
  • 5.Click Save and Close to accomplish editing your completed form.

Once your supplemental report form template is ready, download it to your device, save it to the cloud, or invite other individuals to eSign it. With airSlate SignNow, the eSigning process only takes a couple of clicks. Use our robust eSignature tool wherever you are to manage your paperwork efficiently!

How to Sign a PDF Using Google Chrome How to Sign a PDF Using Google Chrome

How to complete and sign documents in Google Chrome

Completing and signing paperwork is simple with the airSlate SignNow extension for Google Chrome. Installing it to your browser is a quick and beneficial way to deal with your forms online. Sign your supplemental report form sample with a legally-binding electronic signature in just a few clicks without switching between programs and tabs.

Follow the step-by-step guide to eSign your supplemental report form template in Google Chrome:

  • 1.Navigate to the Chrome Web Store, locate the airSlate SignNow extension for Chrome, and install it to your browser.
  • 2.Right-click on the link to a document you need to eSign and choose Open in airSlate SignNow.
  • 3.Log in to your account with your credentials or Google/Facebook sign-in buttons. If you don’t have one, sign up for a free trial.
  • 4.Utilize the Edit & Sign toolbar on the left to complete your sample, then drag and drop the My Signature field.
  • 5.Upload a photo of your handwritten signature, draw it, or simply enter your full name to eSign.
  • 6.Make sure all data is correct and click Save and Close to finish modifying your form.

Now, you can save your supplemental report form sample to your device or cloud storage, email the copy to other people, or invite them to eSign your document with an email request or a protected Signing Link. The airSlate SignNow extension for Google Chrome improves your document processes with minimum effort and time. Try airSlate SignNow today!

How to Sign a PDF in Gmail How to Sign a PDF in Gmail How to Sign a PDF in Gmail

How to complete and sign documents in Gmail

Every time you get an email with the supplemental report form for approval, there’s no need to print and scan a document or download and re-upload it to another tool. There’s a much better solution if you use Gmail. Try the airSlate SignNow add-on to rapidly eSign any documents right from your inbox.

Follow the step-by-step guide to eSign your supplemental report form in Gmail:

  • 1.Navigate to the Google Workplace Marketplace and look for a airSlate SignNow add-on for Gmail.
  • 2.Install the tool with a corresponding button and grant the tool access to your Google account.
  • 3.Open an email with an attached file that needs approval and utilize the S key on the right sidebar to launch the add-on.
  • 4.Log in to your airSlate SignNow account. Opt for Send to Sign to forward the document to other people for approval or click Upload to open it in the editor.
  • 5.Put the My Signature option where you need to eSign: type, draw, or upload your signature.

This eSigning process saves time and only requires a few clicks. Utilize the airSlate SignNow add-on for Gmail to adjust your supplemental report form with fillable fields, sign documents legally, and invite other individuals to eSign them al without leaving your mailbox. Enhance your signature workflows now!

How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device

How to complete and sign documents in a mobile browser

Need to rapidly fill out and sign your supplemental report form on a smartphone while doing your work on the go? airSlate SignNow can help without needing to set up additional software applications. Open our airSlate SignNow solution from any browser on your mobile device and add legally-binding eSignatures on the go, 24/7.

Follow the step-by-step guide to eSign your supplemental report form in a browser:

  • 1.Open any browser on your device and follow the link www.signnow.com
  • 2.Sign up for an account with a free trial or log in with your password credentials or SSO option.
  • 3.Click Upload or Create and add a file that needs to be completed from a cloud, your device, or our form library with ready-to go templates.
  • 4.Open the form and complete the empty fields with tools from Edit & Sign menu on the left.
  • 5.Put the My Signature area to the sample, then enter your name, draw, or add your signature.

In a few easy clicks, your supplemental report form is completed from wherever you are. As soon as you're done with editing, you can save the file on your device, generate a reusable template for it, email it to other individuals, or invite them electronically sign it. Make your documents on the go fast and efficient with airSlate SignNow!

How to Sign a PDF on iPhone How to Sign a PDF on iPhone

How to complete and sign forms on iOS

In today’s business community, tasks must be accomplished quickly even when you’re away from your computer. With the airSlate SignNow mobile app, you can organize your paperwork and sign your supplemental report form with a legally-binding eSignature right on your iPhone or iPad. Install it on your device to conclude agreements and manage forms from anywhere 24/7.

Follow the step-by-step guidelines to eSign your supplemental report form on iOS devices:

  • 1.Go to the App Store, search for the airSlate SignNow app by airSlate, and set it up on your device.
  • 2.Open the application, tap Create to add a form, and select Myself.
  • 3.Opt for Signature at the bottom toolbar and simply draw your autograph with a finger or stylus to eSign the form.
  • 4.Tap Done -> Save after signing the sample.
  • 5.Tap Save or take advantage of the Make Template option to re-use this document later on.

This process is so easy your supplemental report form is completed and signed within a few taps. The airSlate SignNow application works in the cloud so all the forms on your mobile device are kept in your account and are available any time you need them. Use airSlate SignNow for iOS to improve your document management and eSignature workflows!

How to Sign a PDF on Android How to Sign a PDF on Android

How to fill out and sign forms on Android

With airSlate SignNow, it’s simple to sign your supplemental report form on the go. Install its mobile application for Android OS on your device and start boosting eSignature workflows right on your smartphone or tablet.

Follow the step-by-step guidelines to eSign your supplemental report form on Android:

  • 1.Go to Google Play, search for the airSlate SignNow app from airSlate, and install it on your device.
  • 2.Sign in to your account or create it with a free trial, then upload a file with a ➕ option on the bottom of you screen.
  • 3.Tap on the imported file and select Open in Editor from the dropdown menu.
  • 4.Tap on Tools tab -> Signature, then draw or type your name to eSign the template. Fill out blank fields with other tools on the bottom if necessary.
  • 5.Utilize the ✔ button, then tap on the Save option to finish editing.

With an intuitive interface and full compliance with major eSignature standards, the airSlate SignNow application is the best tool for signing your supplemental report form. It even operates offline and updates all document modifications when your internet connection is restored and the tool is synced. Fill out and eSign forms, send them for approval, and make multi-usable templates anytime and from anyplace with airSlate SignNow.

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