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BUREAU of WORKERS' COMPENSATION FORMS

BUREAU of WORKERS' COMPENSATION FORMS

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Instructions and help about BUREAU OF WORKERS' COMPENSATION FORMS

hello this is marianna from freelander group workers compensation leader in new york a c240 form is an employer statement of wage earnings as an employer you complete this form by providing an injured employee's gross weekly wages for 52 weeks leading up to the date of injury when completing this form you want to include the information such as the week ending dates the gross weekly income and the number of days worked per period now to save time on this lengthy document the workers comp board will let you instead upload a detailed payroll printout as long as it includes all the above mentioned information the workers comp board uses this to determine the employee's average weekly wage which is what workers compensation lost time payments are based off of thank you for listening find the form in the link below and have a great day you

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