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Colorado Division of Labor Standards and Statistics

Online Payment Reporting Form Instructions

The employer is responsible for ensuring that the claimant received payment(s). A payment attempt without proof of receipt does not fully resolve the claim, and the Division may pursue collection of any owed amounts for which the employer has not provided proper proof of payment.

Colorado Revised Statute (C.R.S.) §§ 8-1-114 and 8-1-117 impose penalties of “not less than fifty dollars for each day” of non-compliance for failure to provide proof of payment. Any party making any of the required payment(s) to the claimant must provide the Division written proof of payment, e.g., a copy of a check or money order, including all of the following information: (1) claim number; (2) pay statement providing an accounting of gross wages owed, net wages paid, and any deductions made from gross wages owed; (3) payment of penalties owed, and (4) the address the payment was sent to (if mailed).

If any of the above information is missing or incomplete, the Division may not apply the payment to the balance owed, subjecting the party to the Division’s right to collect upon the outstanding balance owed through either judicial procedures or the use of administrative liens and levies as authorized by C.R.S. § 8-4-113. If proof of payment is insufficient, the Division will notify the party so that the party can promptly submit sufficient evidence of payment.

The Division may freeze and seize assets of any liable party through Division orders and notices to the party, to other persons or entities with the party’s assets (e.g., banks), and to anyone who owes the party money or other assets (e.g., customers, suppliers, business partners). Non-compliance may also yield additional fines on the party and additional information demands to the party or others (e.g., individuals or businesses with knowledge of the party’s assets). Enforcement efforts may ensue during any appeals, absent an order limiting such efforts.



Colorado Division of Labor Standards and Statistics

Online Payment Reporting Form 


Begin by entering your "Claim Key" below. After you do so, select the appropriate "Claim Number" and "Claimant Name" in the following section (after clicking each field of those fields, you should see a drop-down menu with the relevant information to select).





e.g.(@somplace.com)

For payment of wages and penalties to the claimant:
  • Mail payment made out to the claimant, to their address. 
  • Indicate the claim number on the check or (if possible) other payment instrument. 
Note that although wages may be taxable, penalties are not considered wages for federal or state tax withholding.

 For payment of fines:
  • Mail a check made out to the “Colorado Division of Labor Standards and Statistics-Wage Theft Enforcement Fund” to the Division address listed at 633 17th Street, Denver, CO 80202.

II. Reporting of payment to the Division


Option 1: I paid the claimant their outstanding wages.



If applicable.



MM/DD/YYYY

Option 2: I paid the claimant an amount of outstanding wages.



If applicable.



MM/DD/YYYY

Option 1: Reduction in Penalties and Elimination of All Fines for Prompt Payment



If applicable.



MM/DD/YYYY

Option 2: Wages Owed and Full Penalties and Fines






MM/DD/YYYY

Option 3: Wages Owed and Increased Penalties and Fines






MM/DD/YYYY

Option 1: Reduction in Penalties and Prompt Payment to Avoid Increased Liabilities



If applicable.



MM/DD/YYYY

Option 2: Increased Penalties for Failure to Pay and Report






MM/DD/YYYY

For payments made after a certified copy and judgment were filed





MM/DD/YYYY

Colorado Division of Labor Standards and Statistics

Online Payment Reporting Form

Attached Documentation

The employer is responsible for ensuring that the claimant receives payment(s). You indicated that you included the required documentation and proof of payment showing the payment was sent to the claimant. If you are unable to provide these documents at this time, please select "Save my progress and resume later" below. You will receive an email with a link that will allow you to resume the form once you have gathered all the required documentation.
  
Any party making required payment(s) to the claimant must provide the Division written proof of payment, e.g. copy of check or money order, including all of the following information: (1) claim number; (2) pay statement providing accounting of gross wages owed, net wages paid, and any deductions made from gross wages owed; (3) payment of penalties owed, and (4) address payment was sent to (if mailed).

You may upload files by selecting "Choose File" below.   
The employer is responsible for ensuring that the claimant receives payment(s). You indicated that you included the required documentation and proof of payment showing the payment was sent to the claimant. If you are unable to provide these documents at this time, please select "Save my progress and resume later" below. You will receive an email with a link that will allow you to resume the form once you have gathered all the required documentation.

Please provide additional evidence with your proof of payment, such as a completed Employer Response Form ("ERF") or documents in support of the amount paid.  

You may upload files by selecting "Choose File" below.      

Colorado Division of Labor Standards and Statistics

Online Payment Reporting Form

Certification

  1. I have read the Notice of Assessment or the Notice of Complaint and all attachments in its entirety, including any attached instructions and advisements.
  2. I understand that any person providing false information to the Division in order to obtain and/or retain anything of value may be subject to criminal prosecution under the laws of the State of Colorado with possible penalties of imprisonment, fines, or both.
  3. I hereby certify that this is a true statement regarding wages paid or owed to the claimant.
  4. I understand that any information sent to the Division may be provided to the claimant and the claimant’s agent, as well as other agencies or individuals as the Division deems appropriate and as allowed by law.
  5. I declare under penalty of perjury (C.R.S. § 18-8-501, et seq.) that the information I provide is true and correct.
  6. I understand I am required to notify the Division immediately if my contact information changes.


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