The Pennsylvania Statement of Wages (For injuries Occurring On or After June 24, 1996) is a document issued by the Pennsylvania Department of Labor & Industry that is used to establish the wage rate for workers who have been injured on the job. The Statement of Wages is used to determine the amount of workers' compensation benefits that the injured worker will receive. The statement is based on the employee's wages, hours worked, and other factors. There are two types of Pennsylvania Statement of Wages (For injuries Occurring On or After June 24, 1996): the Initial Statement of Wages and the Amended Statement of Wages. The Initial Statement of Wages is issued when the worker first files for workers' compensation benefits. The Amended Statement of Wages is issued when the worker has received a raise, changed jobs, or when additional information is needed for the calculation of the worker's benefits.
Pennsylvania Statement of Wages (For injuries Occurring On or After June 24, 1996)
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