This is one of the official Workers' Compensation forms for the state of Maine.
Maine Wage Statement for Workers' Compensation
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FAQ
A workers' compensation insurance policy is based on payroll, regardless of whether the employee is full-time, part-time, temporary or seasonal. Begin with the gross payroll for each employee. Tips for Calculating Payroll: Gross payroll for each employee can be rounded to the nearest $1,000.
There's also the possibility of a lump sum settlement. In both cases, the amount of money you receive is calculated with a few benefits in mind - including wages and future medical treatment. In closing, workers' compensation does not pay your full salary, but you are entitled to part of your salary.
Gross wages include salaries, commissions, bonuses, vacation, holiday pay, sick pay, overtime base wages, the market value of gifts, all substitutes for money earned or paid during the policy period including meals and lodging in lieu of wages, automobile allowances, and some pension play payments explained below.
A workers' compensation insurance policy is based on payroll, regardless of whether the employee is full-time, part-time, temporary or seasonal. Begin with the gross payroll for each employee.
A prospective employer has no right to ask whether you have had a previous workers' compensation claim. However, a prospective employer does have the right to know if you have an injury or medical condition that will impact on your ability to perform your work duties.
What RTW / workers' comp information IS confidential? While relevant, recent, work-related medical information is usually not confidential, other medical informationsuch as the individual's medical historyis confidential.
Workers' Comp Payroll DefinitionWages or salaries including retroactive wages or salaries. Total cash received by employees for commissions and draws against commissions. Bonuses including stock bonus plans. Extra pay for overtime work-see next section for exceptions.
Workers Compensation Calculator Most often, benefits are calculated and paid based on the average weekly wage. This is calculated by multiplying the employee's daily wage by the number of days worked in a full year. That number is then divided by 52 weeks to get the average weekly wage.