SIF-5A Cover Sheet: Wage Calculations

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SIF-5A Cover Sheet: Wage Calculations

(84 KB XLS)
Descripción

Used by only self-insured employers and their representatives to calculate and report injured workers’ wages and time loss compensation rates.

Detalle
Número del formulario F207-156-000
Disponibilidad Online only
Palabras claves calculations, injuries, injury, self insurance, self insurer, self-insurance, self-insurer, SIF5, SIF5-A, SIF5A, time-loss, time-loss compensation, wage, wages, worker's compensation, workers compensation, workers' compensation
Idiomas English
Fechas válidas 10-2013
Contacto Self-Insurance
Información relacionada
Documentos

Self-Insurance Report of Occupational Injury or Disease (SIF-5)


Páginas de Internet Insurance for Business
Self-Insured Employers
Checklists & Instructions for self-insurers

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