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Get the free Employer-at-Injury Program (EAIP) Wage Subsidy Request Form. F3312, Employer-at-Inju...

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Saiph.comEmployeratInjury Program (EARP) Wage subsidy request former team 400 High St SE Salem, OR 97312 Phone: 800.285.8525 (ext 8652) Fax: 503.584.9805 Email: EaipTeam@saif.comAttach copies of the
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How to fill out employer-at-injury program eaip wage

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How to fill out employer-at-injury program eaip wage

01
Obtain the EAIP wage form from your employer or workers' compensation insurance carrier.
02
Fill in your personal information, including your name, address, and social security number.
03
Provide information about your injury, including the date it occurred and how it happened.
04
Include details about your wage history, such as your pre-injury wage and any wage changes since the injury.
05
Sign and date the form before submitting it to the appropriate party for processing.

Who needs employer-at-injury program eaip wage?

01
Employees who have been injured on the job and are seeking workers' compensation benefits.
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Employer-at-injury program eaip wage is the wage that an employee receives while on workers' compensation due to a work-related injury.
Employers are required to file employer-at-injury program eaip wage for their employees who are receiving workers' compensation benefits.
Employers can fill out employer-at-injury program eaip wage by providing the employee's name, Social Security number, date of injury, and the amount of wage being paid.
The purpose of employer-at-injury program eaip wage is to ensure that employees who are on workers' compensation receive the correct wage payments.
Employers must report the employee's name, Social Security number, date of injury, and the amount of wage being paid.
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