Get Dwc 6

Filling out the Dwc 6 online can seem daunting, but this guide will provide you with clear and straightforward instructions. Understanding each component of the form is essential to ensure accurate submission to the workers' compensation carrier.

Follow the steps to successfully complete the Dwc 6 online.

1. Click the ‘Get Form’ button to access the Dwc 6 form and open it in your preferred editor.
2. Begin by filling in the claim information. You will need to provide the claim number and the carrier's claim number along with the name and fax number of the insurance carrier.
3. Indicate whether this is an initial or amended wage statement by selecting the appropriate option.
4. In the 'Employee and Employer Information' section, provide the employee's name, mailing address, and social security number. Additionally, fill in the employer's business name and contact information.
5. Record the date of hire and the date of injury. Determine and indicate the employee's current work status, whether they are back at work and if there are any restrictions.
6. Fill out the name and contact information of the person providing the wage information to the carrier.
7. Complete the 'Employment Status at Time of Injury' section by checking all applicable options regarding the employee's work status.
8. Provide the wage information for the 13 weeks immediately preceding the date of injury in the appropriate wage information section. Be sure to report all wages accurately.
9. Fill out the pecuniary and nonpecuniary wage information as instructed. Specify the amounts earned in each reporting period.
10. Review all provided information for accuracy. Once confirmed, save your changes, download, print, or share the filled-out form as necessary.

Get started on completing your Dwc 6 form online today to ensure timely submission and compliance.