Dwc04 2025

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The document is an Employee's Certificate of Dependency Status (DWC-04) used in Rhode Island to collect necessary information from employees regarding their dependents and marital status for calculating workers' compensation rates. It outlines the sections to be completed by both the employee and the claim administrator, including personal details, claim information, marital status, federal exemptions, and dependent information. The form must be signed by the employee and returned promptly to avoid delays in compensation.

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2013	4.8 Satisfied (76 Votes)

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Who is exempt from workers compensation insurance California?

Under California Labor Code, Division 4, Part 1, Chapter 2, Section 3352, these workers include the following: Sole Proprietors and business owners (excluding roofers) Business owners. Independent contractors like gig workers.

What is a DWC 3 wage statement in Texas?

A DWC-3 is an Employers Wage Statement form outlined by the Texas Department of Insurance, Division of Workers Compensation (DWC). Texas Mutual uses this form to determine the injured employees average weekly wage and calculate financial assistance for them or their beneficiary.

What does DWC mean in workers comp?

The Division of Workers Compensation (DWC) monitors the administration of workers compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers compensation benefits.