WKC-13-A-E, Wage Information SupplementWKC-13-A-E, Wage Information SupplementWC Forms ListWC Forms 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the employee's name and Social Security Number (optional) in the designated fields. Ensure accuracy as this information is crucial for processing.
3. Fill in the date of injury, employer name, and insurance company details. This section is vital for identifying the claim.
4. For part-time employees, complete Section 4 first. Indicate hours worked per week and check applicable boxes based on employment status.
5. In Section 1, calculate the hourly wage by multiplying the hourly rate at the time of injury with usual scheduled hours. Include any tips if applicable.
6. Proceed to Section 2 to enter gross taxable wages and number of weeks worked prior to injury. This will help determine average weekly earnings.
7. Complete Section 3 by marking any additional cash wages received weekly, such as meals or housing allowances.
8. Finally, review all entries for accuracy before submitting your form through our platform for a seamless process.

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