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WI WPS 21339 2016 free printable template

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How to fill out WI WPS 21339

01
Obtain the WI WPS 21339 form from the appropriate state agency's website or office.
02
Fill in your personal information, such as your name, address, and contact details in the designated fields.
03
Provide the details of your employment, including your employer's name, address, and phone number.
04
Complete any sections regarding your work hours, job duties, and related information as required by the form.
05
Review your entries for accuracy and completeness.
06
Sign and date the form at the bottom to certify that the information is correct.
07
Submit the completed form to the specified agency or individual as directed.

Who needs WI WPS 21339?

01
Employees who are applying for benefits or protections under the Wisconsin Worker's Compensation Act.
02
Employers required to provide necessary documentation for their employees if there is a claim.
03
Individuals involved in disputes regarding worker's compensation that require official reporting.
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WI WPS 21339 is a form used in Wisconsin for reporting compliance with the Worker Protection Standard, which outlines the protection of agricultural workers and pesticide handlers.
Employers of agricultural workers and pesticide handlers are required to file WI WPS 21339 to show compliance with the regulatory requirements.
To fill out WI WPS 21339, provide the required information about your business, employee details, pesticides used, and training provided to workers, ensuring accurate reporting of all relevant data.
The purpose of WI WPS 21339 is to ensure compliance with the Worker Protection Standard, safeguarding the health and safety of agricultural workers and informing them of the risks associated with pesticide exposure.
Information that must be reported on WI WPS 21339 includes the name and address of the employer, details about the pesticides used, workers trained, and any incidents involving pesticide exposure.
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