SIF-5A Cover Sheet: Wage Calculations
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| Título |
SIF-5A Cover Sheet: Wage Calculations (Un formulario electrónico)- 530 KB PDF)
SIF-5A Cover Sheet: Wage Calculations (83 KB XLS) |
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| Descripción | Used by only self-insured employers and their representatives to calculate and report injured workers’ wages and time loss compensation rates. |
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| Detalle | ||
| Número del formulario | F207-156-000 | |
| Disponibilidad | Online only | |
| Palabras claves | calculations, injuries, injury, self insurance, self insurer, self-insurance, self-insurer, time-loss, time-loss compensation, worker's compensation, workers compensation, workers' compensation | |
| Idiomas | English | |
| Fechas válidas | 07-2009, 05-2013 | |
| Contacto | ||
| Información relacionada | ||
| Documentos | Self-Insurance Report of Occupational Injury or Disease (SIF-5) |
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| Páginas de Internet | Insurance for Business Self-Insured Employers Checklists & Instructions for self-insurers |
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