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WI WKC-9380 2012 free printable template

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NECESSITY OF TREATMENT DISPUTE RESOLUTION REQUEST Department of Workforce Development Worker s Compensation Division 201 E. Washington Ave., Rm. C100 P.O. Box 7901 Madison, WI 53707-7901 Telephone:
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Provide details about your employment history in the specified section.
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Who needs WI WKC-9380?

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Individuals applying for certain state benefits or financial assistance in Wisconsin.
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Workers who have experienced a reduction in work hours or employment.
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Job seekers needing to verify their employment history.
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WI WKC-9380 is a form used in Wisconsin for reporting employee wages and hours to the Unemployment Insurance program.
Employers in Wisconsin who pay wages to employees are required to file the WI WKC-9380 form with the state's Unemployment Insurance program.
To fill out WI WKC-9380, employers should gather the required information about their employees' wages and hours worked, then complete the form by entering this data accurately in the designated fields.
The purpose of WI WKC-9380 is to collect wage and hour data from employers for the administration of the state’s Unemployment Insurance program.
The information required on WI WKC-9380 includes employee names, Social Security numbers, total wages paid, and the number of hours worked during the reporting period.
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