Out wc 14 2025

1. Click ‘Get Form’ to open the WC-14 EMPLOYEE'S WAGE-REPORT FOR FIFTY-TWO WEEKS in the editor.
2. Begin by entering the employee's name and Social Security Number (SS No.) at the top of the form. This information is crucial for identifying the employee.
3. Fill in the Case Number and Date of Injury fields accurately, as these are essential for processing claims.
4. Provide details about the employer, including their name, occupation of the employee, hourly rate, and employment dates. If applicable, indicate if the employee is currently employed or provide termination details.
5. Indicate the days and hours normally worked by filling in each day of the week. If there are variations, specify them clearly.
6. Complete the payment history section by detailing each pay period, including amounts paid excluding overtime and any extra work hours.
7. Finally, ensure you sign and date the form before submission. Choose your preferred delivery method from those provided.

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