Wyoming Workers' Compensation Clearance Document

State:
Multi-State
Control #:
US-AHI-315
Format:
Word; 
Rich Text
Instant download

Description

This AHI form to be signed by the employee to acknowledge that work-related illnesses, injuries, and accidents have been reported to the company.

How to fill out Workers' Compensation Clearance Document?

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FAQ

The term monopolistic state refers to any state that has special legislation in place that requires workers' compensation coverage be provided exclusively by the state's workers' compensation program.

Employees receive two-thirds of their gross monthly wage at the time of injury during their recovery, if unable to work. Workers' compensation benefits for injured workers in Wyoming include: Medical benefits that cover related medical treatment. Travel reimbursement.

Most business owners in Wyoming need workers' compensation insurance, which protects both employees and employers after a work injury or illness. Employers must purchase coverage from the state fund.

Workers Compensation Insurance for Wyoming is only available through the Worker's Safety and Compensation Division. You must contact the Wyoming Department of Employment to Secure Coverage.

The Division of Workers' Compensation (DWC) monitors the administration of workers' compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers' compensation benefits.

The workers' compensation system in Wyoming is a no-fault system that compensates injured workers for medical bills, lost wages, and permanent impairments resulting from their injuries. Wyoming Department of Workforce Services (DWS) administers and pays out claims.

Note: Wyoming Workers' Safety and Compensation is a monopolistic state fund with a state-controlled workers compensation plan that prohibits private insurers from competitively writing mandatory coverage. NCCI collects the following types of policy data: Voluntary Compensation (VC) Employers Liability (EL)

The following states/jurisdictions are monopolistic fund states: North Dakota, Ohio, Washington, Wyoming, Puerto Rico, and the U.S. Virgin Islands.

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Wyoming Workers' Compensation Clearance Document