Get Workers Compensation/sdi Supplementation Worksheet

Filling out the Workers Compensation/SDI Supplementation Worksheet online can seem daunting. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your Workers Compensation/SDI Supplementation Worksheet.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. Input your employee identification number and full name in the designated fields. Also, fill out your union affiliation and department ID.
3. Indicate the type of claim you are filing. Choose from Workers’ Comp Claim, Regular SDI Claim, Paid Parental Leave, Recurrence, or Paid Family Leave.
4. Fill in the important dates including the date of the industry injury (for WC claims), the last day worked, waiting period date (if applicable), when benefits began, and the employee's expected or actual return date.
5. Enter the pay period dates, and mark the correct paid or non-paid codes for each day of the week, including regular days off.
6. In STEP 1, if you were not supplementing for a portion of this pay period, add the number of hours from each leave code outside the supplemental period in the provided fields.
7. Calculate the Workers’ Comp or SDI benefit amount for the pay period by using the provided formula and enter the outcome.
8. Calculate the number of hours equivalent to your benefit amount as instructed, ensuring to use the correct base hourly or adjusted hourly rate.
9. Proceed to calculate supplemental hours by subtracting the relevant hours as described and enter totals in the appropriate fields.
10. For employees with legal holidays during the supplemental period, follow the instructions to compute the number of holiday hours used to supplement the benefits.
11. Write down the number of supplemental hours to be charged to each type of paid leave code and sum them correctly.
12. Double-check your calculations by adding all paid and non-paid hours to ensure they match the employee's standard hours.
13. Final step: Save your changes, and you can download, print, or share the completed form as needed.

Complete your Workers Compensation/SDI Supplementation Worksheet online today for a smoother filing experience.