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Wyoming Forms

15 State Forms found

name	number	revision	print or send online
Change of Name or Address	No Form Number	Revised 10/15
WYOMING EMPLOYER’S NOTICE OF CHANGE	WYO -015	(4/16)
Joint Business Registration - Online Submission Only	No Form Number	No Form/Rev Date
Out of State Employer Questionnaire	WYO-790	(12/2022)
2018 PROPOSED INDUSTRY BASE RATES BY CLASSIFICATION	No Form Number	2018
CERTIFICATE OF GOOD STANDING FOR WORKERS’ COMPENSATION ONLY - ONLINE SUBMISSION ONLY	No Form Number	No Form/Rev Date
Corporate Officer Notice of Change	No Form Number	No Form/Rev Date
Payment Coupon	WYO 065	07 / 02 / 12
Drug & Alcohol Discount Annual Application	DADPRG	Revised 6/2024
EMPLOYERS APPLICATION FOR CLAIMS COST APPORTIONMENT	CORR EMR Apportion	Revised 08/17
Non-Resident Employers' Surety Bond	W.C.U. 11	(07-18)
Extension of Extra Territorial Coverage	No Form Number	No Form/Rev Date
Safety Discount Annual Application - New Application/Renewal with Policy Changes	SAFETY	Revised 6/2024
Safety Discount Annual Application - Renewal Application without Policy Changes	SAFETY	Revised 6/2024
Student Learner & Student Training Agreements	STUDNT	Updated 6/2024

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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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