WC-10 RevisedJuly2008 ASI Multiple Injury Trust Fund (MITF) Assessment Report Workers' Compensation 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Federal Employer Identification Number at the top of the form. This is essential for identification purposes.
3. Fill in the name of your insurance carrier, along with the street address, city, state, and zip code. Ensure all information is accurate to avoid delays.
4. In Section I, report the gross direct written premiums for workers’ compensation insurance for the quarter. This figure is crucial as it determines your assessment amount.
5. Next, calculate and enter the Multiple Injury Trust Fund assessment, which is 2.5% of the amount reported in line 1.
6. The undersigned must certify that all information provided is true and accurate. Include the name of the carrier representative, their title, and phone number before signing.
7. Finally, ensure you remit this report along with payment to the Oklahoma Tax Commission by the specified deadline to avoid penalties.

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