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You must complete and return this form to the sender within thirty (30) days of beginning such employment or self-employment. Minimize the risk of using outdated forms and eliminate rejected fillings.LIBC 750 "Employee Report of Wages (Other Than Workers Compensation Benefits Received)". Workers' Compensation Forms and Worksheets. The Workers' compensation team assists in providing wage replacement, medical benefits, and medical treatment to employees injured in the course of employment. Who should complete the Supervisor's First Report of Injury? This Act may be cited as the Workers' Compensation Act. Complete the Employee Injury Report Form. Download and fill out the Wyoming Report of Injury form completely. Worker's and Health Care Provider's Report.