Washington State has two Instructions for completing the Workers' Compensation Employer's Quarterly Report: 1. Quarterly Report of Wages Paid: This form requires employers to report all wages paid to employees during the reporting period. Employers must include each employee’s name, Social Security Number, and wages paid for the quarter. This form must be completed and submitted to the Washington State Department of Labor and Industries by the end of the quarter. 2. Report of Workers’ Compensation Claims: This form requires employers to report any workers’ compensation claims filed during the reporting period. Employers must include the date of injury, employee name, type of injury, and amount of claim. This form must be completed and submitted to the Washington State Department of Labor and Industries by the end of the quarter. Both forms must be completed and submitted to the Washington State Department of Labor and Industries by the end of the quarter. Failure to submit the forms can result in late fees and penalties.
Washington Instructions for completing the Workers' Compensation Employer's Quarterly Report
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5 a.m. ? 9 p.m. Exception: Youth 14-17 years old are allowed to work 7 days a week in dairy, livestock, hay harvest, and irrigation during school and non-school weeks.
Here's how L&I calculates the premium rate for each of the business's risk classifications: Multiplying the business's experience factor by the sum of the Accident Fund, Medical Aid Fund, and Stay at Work base rates, and then. Adding the base rate for the Supplemental Pension Fund.
Important: Employers by law must report to L&I the death or in-patient hospitalization of any worker (within 8 hours) and any non-hospitalized amputation or loss of eye (within 24 hours) due to an on-the-job injury by calling 1-800-423-7233.
Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)
Washington State Form F212-055-000 - Quarterly Report for Industrial Insurance. Washington State Forms 5208A and 5208B, Employer's Quarterly Tax and Wage Detail Reports.
L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.
Washington State Form F212-055-000 - Quarterly Report for Industrial Insurance - CFS Tax Software, Inc.