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Wisconsin Third Party Proceeds Distribution for Workers' Compensation

State:
Wisconsin
Control #:
WI-WKC170-WC
Format:
Word; 
PDF; 
Rich Text
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Description

This Third Party Proceeds Distribution is one of the official workers' compensation forms for the the state of Wisconsin. This Official Workers' Compensation form is fillable in pdf and Word format. ThisThird Party Proceeds Distribution complies with all applicable statutory requirements.

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FAQ

A workers' compensation rate is represented as the cost per $100 in payroll. For example: A rate of $1.68 means that a business with $100,000 in payroll would pay $1,680 annually in work comp premiums. A rate of $0.35 means that a business with $100,000 in payroll would pay $350 annually in work comp premiums.

What is the average cost of workers' compensation insurance in Wisconsin? Estimated employer costs for workers' compensation in Wisconsin are $1.63 per $100 covered in payroll.

Call or write the Wisconsin Worker's Compensation Division, Bureau of Insurance Programs. Our mailing address is P.O. Box 7901, Madison, Wisconsin 53707-7901. Our telephone number is (608) 266-1340 or you can reach us by fax at (608) 266-6827.

Wisconsin workers' compensation pays valuable benefits to employees with work-related injuries or illnesses. These benefits include medical treatment, weekly payments to help offset earnings you've lost as a result of your injury, vocational rehabilitation, and more.

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Wisconsin Third Party Proceeds Distribution for Workers' Compensation