Get Application For Wage Credit Employment ... - Maine.gov

Filling out the Application for Wage Credit Employment is an important step for employers seeking wage credits for their employees under the Maine Workers' Compensation Board procedures. This guide provides clear and detailed instructions to help you complete the application accurately and efficiently.

Follow the steps to complete the application effectively.

1. Press the 'Get Form' button to access the Application for Wage Credit Employment form in the online editor.
2. Begin by filling in your name and contact information in the 'Hiring Employer' section. Make sure to provide a complete address, including street/P.O. box, city, state, and zip code, as well as a valid telephone number.
3. In the 'Employee' section, enter the employee's name, address, city, state, zip code, and telephone number exactly as you have for the employer.
4. Locate section A and input the employee's date of hire in the specified format (month/day/year). This is essential for the Board to accurately process the application.
5. In section B1, provide the total direct wages, earnings, or salary that you paid to the employee during their first 90 days of employment. Be sure to attach any required verification documentation as specified.
6. Next, in section B2, report the total direct wages, earnings, or salary paid to the employee during the second 90 days of employment. Attach the necessary verification, similar to the first section.
7. Use section C for any additional comments or clarifications that might be needed regarding the application.
8. At the end of the form, sign and date your application to confirm that all information provided is accurate.
9. Keep a copy of the completed application for your records and mail the original application to the Workers' Compensation Board at the provided address.
10. After mailing, monitor any correspondence or requirements from the Board regarding your application.

Start filling out the Application for Wage Credit Employment online today to ensure timely processing of your request.