Wage Statement {WCB-2}

WCB-2 - WAGE STATEMENT. This form issued by the State of Maine Workers’ Compensation Board is used to report an employee’s gross weekly earnings leading up to the date of a workplace injury or illness. This information is essential for determining the employee’s average weekly wage, which is the basis for calculating workers’ compensation benefits. The form collects detailed wage data, including earnings over a series of weeks—up to 52—prior to the injury, as well as whether the employee worked multiple jobs (concurrent employment) or received fringe benefits that might be lost during a period of incapacity. The form also specifies the method of wage calculation under Maine workers' compensation statutes and requires additional documentation if the employer uses a less common calculation method. It ensures transparency in benefit determination and provides necessary information to the Workers’ Compensation Board for verifying compensation accuracy. Employers or insurers are required to complete and submit this form, including preparer information and a detailed breakdown of earnings. www.FormsWorkflow.com