Get Kwcfc Form

The Kwcfc Form is an important document for reporting severed coal and assessing related taxes under Kentucky law. This guide will provide clear, step-by-step instructions to help you accurately complete the form online, ensuring compliance with state requirements.

Follow the steps to successfully complete the Kwcfc Form online.

1. Click the ‘Get Form’ button to obtain the Kwcfc Form and open it in your editor.
2. Enter the name of your company in the designated field at the top of the form. This identifies the entity submitting the report.
3. Indicate the year and quarter for which you are reporting by filling in the respective fields.
4. Provide your Federal Employer’s ID number, ensuring accuracy for proper identification.
5. Fill in the address of your company, including the number, street, post office box, city, state, and zip code.
6. If the address has changed, fill in the new address field accordingly.
7. Identify the contact person by entering their name and title in the specified fields.
8. List the contact person's phone number and email address to facilitate communication.
9. Choose whether you have workers’ compensation coverage by checking the appropriate box for either 'Self Insured' or providing the name of the insurance company.
10. Complete the total number of tons severed during the reporting quarter for each month listed. Ensure you enter accurate figures.
11. Calculate the total tons severed by summing the values inputted in the previous step.
12. Enter the coal workers’ pneumoconiosis assessment rate in the specified field.
13. Compute the quarterly assessment due by multiplying the total tons severed by the assessment rate.
14. Certify the report by providing the signature, name, title, and date as required at the bottom of the form.
15. After reviewing all fields for accuracy, save your changes, download, print, or share the completed form as needed.

Take action today by completing your Kwcfc Form online to ensure timely and accurate reporting.