Wage Information Supplement {WKC-13-A1} | Pdf Fpdf Docx | Wisconsin

 Wisconsin   Workers Comp 
Wage Information Supplement {WKC-13-A1} | Pdf Fpdf Docx | Wisconsin

Last updated: 8/20/2025

Wage Information Supplement {WKC-13-A1}

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Description

WKC-13-A1 - WAGE INFORMATION SUPPLEMENT. This form is used by insurers and self-insured employers to report detailed wage information for employees who suffer work-related injuries occurring on or after April 10, 2022, when the employee’s temporary total disability (TTD) rate is less than the maximum rate for the year of injury. The form collects comprehensive information on the employee’s hourly wage, scheduled hours, gross wages, additional weekly compensation such as tips, meals, or housing, and any part-time employment details. It also accounts for situations where employees restrict their availability to less than full-time work or hold multiple jobs. This information is used to calculate the correct TTD rate under Wisconsin worker’s compensation law. Insurers must submit this form with the first WKC-13 report for each applicable claim to ensure accurate wage computation and timely administration of benefits under Chapter 102 of the Wisconsin Statutes. www.FormsWorkflow.com

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