We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • F212-055-000 Workers Compensation Employer S Quarterly Report. F212-055-000 Workers Compensation

Get F212-055-000 Workers Compensation Employer S Quarterly Report. F212-055-000 Workers Compensation

Workers Compensation PO Box 34022 Seattle WA 981241022 Employers Quarterly Report Due date: Report is for quarter: QuarterlyReports.Lni.wa.gov WA Unified Business Identifier (UBI): Use PAC code: Policyholder.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the F212-055-000 Workers Compensation Employer S Quarterly Report online

The F212-055-000 Workers Compensation Employer S Quarterly Report is a crucial document for employers in Washington state. It helps ensure compliance with workers' compensation regulations by accurately reporting employee hours and payroll figures.

Follow the steps to complete your quarterly report effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in your editor.
  2. Identify your Washington Unified Business Identifier (UBI) and enter it in the designated field.
  3. List your L&I Account ID to ensure that the report is correctly associated with your account.
  4. Indicate whether there were no worker hours this quarter by selecting 'Yes' or 'No'. If 'Yes' is chosen, remember to include these hours in the class worked.
  5. For each class code, enter the total worker hours. This will help calculate the premiums owed. Complete the fields as follows: - Class Code - Class Code Description - Gross Payroll - Worker Hours - Your Rate - Multiply Worker Hours by Your Rate to calculate the Premium.
  6. If applicable, update any changes to your business address or owner information by checking the relevant box and completing the required fields.
  7. Calculate the subtotal of your premiums, subtract any existing L&I credit, add any previous balances owed, any late penalties, and late interest, revealing the total amount due.
  8. Ensure all required signatures are provided, confirming that the information is true and correct under penalty of perjury.
  9. Review the form thoroughly for any mistakes or missing information before finalizing your submission.
  10. Once completed, you can save the changes, download, print, or share the form as needed.

Complete your F212-055-000 Workers Compensation report online today to ensure timely compliance.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

F212-055-000.pdf - (L&I), Washington State
Report is for quarter ending: File online now by ... Your business currently has optional...
Learn more
does employment protection reduce productivity?...
on the earnings, profitability and efficiency of the US banking sector from ... The US has...
Learn more
debris blower components
Some of the information is crucial for proper operation and maintenance of this...
Learn more

Related links form

Saico Claim Form Student Medical Information Form Q The Guardian Life Insurance Company Of America Underwrites Dental Coverage Installation For Drying Tumblers, 50 And 75 Pound, CE. M414905R12

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

General information. Contact the Washington State Department of Labor & Industries for information about agency programs and services in your language at 1-800-547-8367. Once you are on the phone, please hold a moment while we call an interpreter to help us.

If the proposed rate increase is adopted, the average rate per $100 of payroll in 2023 will be $1.49, about what it was in 2021 and 2022. Workers will continue to pay on average about a quarter of the premium, a similar percentage to that paid in 2022. How financially stable are Washington's workers' comp trust funds?

Washington State Form F212-055-000 - Quarterly Report for Industrial Insurance.

Employers purchase coverage through the Department of Labor & Industries (L&I). L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.

Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)

Here's how L&I calculates the premium rate for each of the business's risk classifications: Multiplying the business's experience factor by the sum of the Accident Fund, Medical Aid Fund, and Stay at Work base rates, and then. Adding the base rate for the Supplemental Pension Fund.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Fill F212-055-000 Workers Compensation Employer S Quarterly Report. F212-055-000 Workers Compensation

Enter total worker hours for each class to calculate the premiums you owe this quarter. Instructions are enclosed. 1. Quickly and easily file your workers' compensation quarterly reports with QuickFile. Make a copy for yourself. Form F212-055-000, Workers' Compensation Employer's Quarterly Report. You will still need to submit a quarterly report. This tax is reconciled quarterly with Form WA F212-055-000. Enter in Column 3 the total gross payroll for all workers in the appropriate class code. Enter in Column 4 the total worker hours for the quarter in each. Compensation Employer's Quarterly Report, Form F212-055-000, on your behalf each quarter.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get F212-055-000 Workers Compensation Employer S Quarterly Report. F212-055-000 Workers Compensation
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232