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PAYROLL INFORMATION: Enter the month, day and year on which the MSPA worker's payroll workweek ends. Enter the calendar date of the day worked.Information about Form W-2, Wage and Tax Statement, including recent updates, related forms and instructions on how to file. Process of completing and filing the Employer's Statement of Wage Earnings (DWC-3) Form-. 2, FULL-TIME WAGE STATEMENT (Hired for 20 hours or more per week). 3, Department of Labor and Training, Division of Workers' Compensation DWC No. DWC No. Dec. Total. Was this employee given free rent, lodging, or board or other allowances made in lieu of wages? If either of the foregoing methods cannot be reasonably and fairly applied, the full time weekly wage of the injured employee should be used. TDI Form NumberDescriptionFile FormatLanguageDWC003Employer's wage statement. Rev. Employees do not have to pay to get workers' compensation benefits.