Wage Information Supplement {WKC-13-A}

WKC-13-A - WAGE INFORMATION SUPPLEMENT. This form is used by insurers and self-insured employers to report detailed wage information for employees who have suffered work-related injuries occurring before April 10, 2022, when their temporary total disability (TTD) rate is less than the maximum rate for the year of injury. The form collects comprehensive data on the employee’s hourly rate, weekly hours, gross wages, additional compensation (such as tips, meals, or housing), and part-time employment status. It also includes information about the employee’s work history, wage computation, and any limitations affecting availability for work. This information is used to calculate the correct TTD rate under Wisconsin worker’s compensation law. The form ensures that the Department of Workforce Development (DWD) can accurately administer benefits under Chapter 102 of the Wisconsin Statutes, and it must be submitted with the first WKC-13 report for each applicable claim to prevent delays in processing and ensure proper wage and benefit calculations. www.FormsWorkflow.com