Get Wi Wkc-13-a 2022-2025

The WI WKC-13-A form, also known as the Wage Information Supplement, is a crucial document required for submitting information regarding an employee's wages following a workplace injury. This guide will help you navigate the online filling process easily, ensuring that all necessary information is completed accurately.

Follow the steps to complete the Wage Information Supplement online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the employee's name and social security number, noting that providing the social security number is voluntary.
3. Input the date of injury and the employer's name, followed by the name of the insurance company or self-insured employer.
4. Complete the claims handling address, including the city, state, and zip code.
5. For part-time employees, complete Section 4 before continuing to Sections 1 and 2.
6. In Section 1a, enter the hourly rate at the time of injury. Include any additional pay such as tips or commission if applicable.
7. For Section 1b, indicate the number of hours per week that the employee was scheduled to work.
8. In Section 1c, calculate the base weekly rate by multiplying the hourly rate from Section 1a by the hours from Section 1b.
9. Complete Sections 2a through 2e by providing gross taxable wages, number of weeks worked, and average weekly earnings.
10. In Section 3, mark any additions to cash wages received per week, such as free meals or housing.
11. If applicable, fill out Section 4 for part-time employment, determining if the employee is part of a class or has self-restriction.
12. Finally, in Section 5, calculate the weekly wage and TTD rate. Use the greater amount from either Section 1e or Section 2e and multiply by the appropriate percentage.
13. Review all entries for accuracy and then save changes. You can choose to download, print, or share the form as needed.

Complete your WI WKC-13-A form online today to ensure timely processing of your claim.