Get Wages And Temporary Total Disability - Department Of Labor ... - Lni Wa

This guide provides a step-by-step approach to completing the Wages And Temporary Total Disability form online. By following these instructions, you can ensure that the information submitted is accurate and complete, facilitating the processing of your claim.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Read the instructions carefully. Familiarize yourself with the different sections of the form, including computing gross monthly wages, time-loss compensation rates, and specific guidelines related to your employment.
3. Begin filling out the first section by entering your personal information, including your full name, address, and contact details as required.
4. Proceed to detail your employment history, including the wages you received at the time of injury. Make sure to account for any secondary jobs or additional compensation such as bonuses or commissions.
5. Calculate your gross monthly wage accurately by following the prescribed methods in the instructions for both hourly and non-hourly workers.
6. Complete any required fields regarding your dependents and family status to ensure the correct computation of your benefits.
7. After filling all necessary sections, review your entries for accuracy. Ensure that all calculations are correct and that necessary documentation is included.
8. Once satisfied with your form, save your changes. You may also choose to download, print, or share the completed form as required.

Take the next step in managing your claim by completing the necessary documents online.