Wisconsin Wage Information is a form required by the Department of Workforce Development to be filed by insurers or self-insured employers when the wages used are less than the maximum compensation rate. This version of the form is protected from modification, and includes tabbed fields for form C. The form requires employers to provide detailed wage information on each employee, including total wages earned, hours worked, and rate of pay. This information is used to calculate workers' compensation benefits, and must be submitted on an annual basis. There are two types of Wisconsin Wage Information forms: the Standard form and the Modified form. The Standard form requires employers to provide the same information as the Modified form, but is used for employees who receive the same wage rate for all hours worked (including overtime). The Modified form requires employers to provide wage information for each employee, including their hourly rate and overtime rate. Both forms must be completed and submitted to the Department of Workforce Development by the employer.
Wisconsin Wage Information -- To be filed with the Department by the insurer or self-insured employer when wage used is less than the maximum compensation rate. This version is protected from modification and enabled for form fill (includes tabbed fields for form c
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How to fill out Wisconsin Wage Information -- To Be Filed With The Department By The Insurer Or Self-insured Employer When Wage Used Is Less Than The Maximum Compensation Rate. This Version Is Protected From Modification And Enabled For Form Fill (includes Tabbed Fields For Form C?
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FAQ
To file a claim, an injured worker must: complete an Uninsured Employers Fund Claim Application (by calling (608) 266-3046 and requesting the UEF application form be mailed to them)
TYPES OF COVERAGE AVAILABLE There are three basic methods available for employers to obtain the required workers' compensation protection: state insurance funds, private insurance, and self-insurance through insurance pools.
Wisconsin Employers that meet specific requirements are required to carry Worker's Compensation insurance unless they qualify for Self-Insured status. Employers receive the assurance they will not be sued for damages, medical care and lost wages if their employees get injured while working.
To qualify for workers' compensation benefits, an employee must be injured while working within the scope of the job description, be injured while performing a service required by the employer, or develop a disorder that can be directly linked to employment, such as asbestosis or mercury poisoning.
The laws place the financial burden on the employer. This compensation is generally the exclusive remedy for the injured employee. All questions relating to the Wisconsin Worker's Compensation Act should be directed to the Department of Workforce Development (DWD) at (608) 266-1340.
A: You must: Provide a workers' compensation claim form to them within one working day after the work-related injury or illness is reported.
Wisconsin's State Workers' Compensation Benefits $100,000 per occurrence for bodily injury: This coverage is for any one employee. $100,000 per employee for bodily disease: This coverage is for any one employee.
Time Limit Of Two Years However, if notice is not given within 30 days, it is still possible to give notice any time within two years of the date the injury occurred, the onset of the disease, or the date the worker first realized that such injury or disease was caused by his or her work.