The Pennsylvania Statement of Wages (For Injuries Occurring On Or Before June 23, 1996) is a form issued by the Pennsylvania Department of Labor and Industry that is used to report the wages of employees who have been injured on the job. It is used to determine the amount of compensation to be paid out to an injured worker. The form includes information such as the employee’s name, address, date of injury, wage rate, total wages earned, and any deductions taken. There are three types of Pennsylvania Statement of Wages (For Injuries Occurring On Or Before June 23, 1996): Form LIBC-717, Form LIBC-717A, and Form LIBC-717B. Form LIBC-717 is used to report the wages of employees who have been injured on or before June 23, 1996. Form LIBC-717A is used to report the wages of employees who have been injured after June 23, 1996. Form LIBC-717B is used to report the wages of employees who have been injured after June 23, 1996, and who are currently receiving workers’ compensation payments.
Pennsylvania Statement of Wages (For Injuries Occurring On Or Before June 23 1996)
Description
How to fill out Pennsylvania Statement Of Wages (For Injuries Occurring On Or Before June 23 1996)?
Preparing legal paperwork can be a real stress unless you have ready-to-use fillable templates. With the US Legal Forms online library of formal documentation, you can be certain in the blanks you obtain, as all of them correspond with federal and state regulations and are examined by our specialists. So if you need to complete Pennsylvania Statement of Wages (For Injuries Occurring On Or Before June 23 1996), our service is the perfect place to download it.
Obtaining your Pennsylvania Statement of Wages (For Injuries Occurring On Or Before June 23 1996) from our catalog is as easy as ABC. Previously authorized users with a valid subscription need only log in and click the Download button once they find the proper template. Later, if they need to, users can take the same blank from the My Forms tab of their profile. However, even if you are unfamiliar with our service, registering with a valid subscription will take only a few moments. Here’s a brief guide for you:
- Document compliance check. You should carefully examine the content of the form you want and check whether it suits your needs and meets your state law regulations. Previewing your document and looking through its general description will help you do just that.
- Alternative search (optional). If you find any inconsistencies, browse the library through the Search tab on the top of the page until you find an appropriate template, and click Buy Now when you see the one you want.
- Account registration and form purchase. Sign up for an account with US Legal Forms. After account verification, log in and select your preferred subscription plan. Make a payment to proceed (PayPal and credit card options are available).
- Template download and further usage. Select the file format for your Pennsylvania Statement of Wages (For Injuries Occurring On Or Before June 23 1996) and click Download to save it on your device. Print it to fill out your paperwork manually, or use a multi-featured online editor to prepare an electronic version faster and more efficiently.
Haven’t you tried US Legal Forms yet? Subscribe to our service now to get any formal document quickly and easily every time you need to, and keep your paperwork in order!