Dawnloadvideos 2025

1. Click ‘Get Form’ to open the dawnloadvideos in the editor.
2. Begin by entering the 'Date of Injury' and 'Claim Number' at the top of the form. This information is crucial for processing your wage statement.
3. Fill in the 'Injured Worker's Name' and 'Employer Name', along with a contact 'Telephone Number'. Ensure these details are accurate for effective communication.
4. If applying for Wage Loss benefits, specify the 'FROM' and 'TO' dates of employment. This helps in determining eligibility.
5. Complete sections regarding total gross wages, including overtime for six weeks prior to injury, and first seven days excluding overtime. Provide precise figures as required.
6. Report weekly wages for the year before the injury, ensuring no deductions are made. If there were periods without work, note reasons clearly.
7. Finally, ensure that both the employer's signature and affidavit are completed accurately before submission.

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