Employer Report Of Employee Earnings

Wages-EMP - EMPLOYER REPORT OF EMPLOYEE EARNINGS. Please note that if you report income to BWC to set wages but have not reported the income to the Internal Revenue Service (IRS) as wages, BWC may notify the IRS of the discrepancy. You must complete the Seven-day worksheet section below. Then either complete and sign the Earnings statement worksheet (page two of this form), or submit a payroll report that includes the required information as described below. • Report earnings for the employee beginning with the full-pay-period that ended prior to the date of injury or date of disability in an occupational disease claim using the actual end date of the pay period (not the issue date of payment) Do not report wages earned on or after the date of injury or date of disability in an occupational disease claim. • BWC includes the information below in the calculation of wages. Include the following information in your report or worksheet: o All gross earnings prior to any deductions such as for taxes, insurance, deferred compensation, garnishment or employee contributions to retirement programs. o Paid holidays, vacation, personal or sick leave (this is payment for time off work, not cash out of unused leave). o Bonuses and commissions (you must indicate the period of time over which the bonus or commission was earned). o Allowance for meals, lodging uniforms, tips, etc., paid in addition to wages, (report as other earnings with a description of the earnings). • Reimbursements made to the injured worker for meals, lodging, uniforms, travel, etc. (BWC does not consider these as earnings and so it does not include them in the calculation of wages.) DO not include them in your report or worksheet. • If you attach a payroll report that includes earnings that BWC does not consider gross earnings as defined above, please note on the payroll report or on a separate attached document. • Report any periods the injured worker did not work. If payment was made during those periods, report the amount and description of payment the injured worker received. www.FormsWorkFlow.com