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 38 State Forms found

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Change of Name or Address

 No Form Number Revised 10/15

WYOMING EMPLOYER’S NOTICE OF CHANGE

 WYO -015 (4/16)

Report of Injury

 INJRPT Revised 7/24

AFFIDAVIT AFFIRMING AMOUNT OF MONTHLY PAYROLL

 BOND Revised 02/2020

AFFIDAVIT FOR APPLICATION OF COVERAGE CLERICAL OFFICE OCCUPATION CLASSIFICATION

 SICUP Revised 03/22

AFFIDAVIT FOR APPLICATION OF COVERAGE OUTSIDE SALES CLASSIFICATION

 No Form Number No Form/Rev Date

AMENDED SUMMARY REPORT

 WYO - 082 (07/17)

AMENDED EMPLOYEE WAGE LISTING

 WYO-077 (07/17)

APPLICATION FOR DEATH BENEFITS OR BALANCE OF AWARD

 DTHAPP Revised 07/11

EMPLOYEE’S APPLICATION FOR TEMPORARY TOTAL DISABILITY BENEFITS

 WCD-9 Revised 12/21

CERTIFICATE OF COVERAGE - ONLINE SUBMISSION ONLY

 No Form Number No Form/Rev Date

CLAIM FOR WAGES

 No Form Number No Form/Rev Date

Joint Business Registration - Online Submission Only

 No Form Number No Form/Rev Date

Light Duty Agreement

 TTINFO Revised 10/15

Out of State Employer Questionnaire

 WYO-790 (12/2022)
Disclaimer: These forms may not be the most recent version. Wyoming may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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