Fillable Employee Leasing Company Information Client Information - dwd wisconsin

Description
Employee Leasing Company Notification of a client covered under a master policy for small clients under s. 102.315(5)(b), Wis. Stats. This form must be filed with the Wisconsin Worker's Compensation Division within 30 days of the effective date of a contract between an employee leasing company and a client under a master policy for small clients. COMPLETE ALL ITEMS OR THIS FORM WILL BE RETURNED TO YOU. If...
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