Wkc 13 printable form 2025

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The document is a Wage Information Supplement form from the Department of Workforce Development's Worker’s Compensation Division in Wisconsin. It outlines the requirements for insurers and self-insured employers to report wage information for employees who have sustained injuries, specifically when Temporary Total Disability (TTD) is less than the maximum rate for the year of injury. The form includes detailed instructions on how to calculate hourly wages, gross wages, and TTD rates, as well as sections for reporting additional compensation and considerations for part-time employees.

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Versions	Form popularity	Fillable & printable
2022	4.9 Satisfied (28 Votes)
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