Wyoming Work Request Cover Sheet

State:
Multi-State
Control #:
US-212-AZ
Format:
PDF; 
Rich Text
Instant download

Description

A cover sheet is an informational form required to be filed in certain cases. The coversheet contains names and addresses of parties, the case type, and other organizational information. The court uses this information for statistical purposes and to organize the case for hearing. This form, a Work Request Cover Sheet for the type of case indicated (or a general cover sheet) is available for download now in standard format(s). USLF control no. US-212-AZ

How to fill out Work Request Cover Sheet?

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FAQ

Registration: Wyoming Registered Business and Out of State Employers. Please go to wyui.wyo.gov to complete the joint business registration ? this must be done first for any employer. This includes owners/sole proprietors as well as contractors, you must register in order to get the exemption letter from the Division.

All employers doing business in Wyoming need to register with Workers' Compensation.

Work comp rates for all job classification codes are always expressed as a percentage of $100 in wages. An annual policy is always subject to an audit because it was based on estimated wages and not actual wages. In order to calculate the cost of the policy you only need to multiply each rate with its divided payroll.

If you have questions about workers' compensation, please contact (307) 777-5476 or email DWS-AskMeWC@wyo.gov.

FAQ Report the injury to your supervisor immediately. Seek medical attention, if necessary. Notify your employer immediately, but no later than 72 hours after having sustained an injury. File a Report of Injury with Workers' Compensation within 10 days. Complete the form in its entirety, preferably with your employer.

Temporary Total Disability benefits are the equivalent of 2/3 of your gross monthly wage at the time of injury, but cannot exceed the Statewide Average Wage for the quarter you were injured. Temporary Total Disability benefits are not taxable.

FAQ Report the injury to your supervisor immediately. Seek medical attention, if necessary. Notify your employer immediately, but no later than 72 hours after having sustained an injury. File a Report of Injury with Workers' Compensation within 10 days. Complete the form in its entirety, preferably with your employer.

Workers' Compensation is funded by premiums paid by employers to provide coverage for lost wages and medical bills when an on the job injury occurs. In exchange, employers receive the benefit of reduced medical costs and are protected against lawsuits from the injured party, as outlined in Wyo.

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Wyoming Work Request Cover Sheet