Montana state fund payroll report 2026

1. Click ‘Get Form’ to open the Montana State Fund Payroll Report in the editor.
2. Begin by filling in the worker's personal information, including their last name, first name, middle initial, date of birth, and social security number. Ensure accuracy as this data is crucial for processing.
3. Next, provide the home address details including city, state, and postal code. Don’t forget to include a contact phone number.
4. Indicate the worker's education level and gender. This section helps in understanding the worker's background.
5. Fill out marital status and number of dependents. This information may affect compensation calculations.
6. Document wages by entering gross earnings for the four pay periods preceding the injury. Specify employment status and how often they are paid (hourly, weekly, etc.).
7. Provide details about any additional earnings such as bonuses or overtime. Indicate if sick leave was available or used.
8. In the accident description section, detail what occurred during the incident. Include dates and any witnesses if applicable.
9. Finally, ensure that all signatures are completed at the end of the form to validate your claim.

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