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DWC Corrects Wage Statement Forms

DWC made corrections to forms that were adopted on July 27, 2022. ?

  • DWC Form-003, Employer?s Wage Statement
  • DWC Form-003ME, Employee?s Multiple Employment Wage Statement
  • DWC Form-003SD, Employer?s Wage Statement for School Districts

These forms allow stakeholders a way to provide information to the insurance carrier to calculate average weekly wage and issue income benefits.

Learn more on the TDI website.
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