Termination Notice Of Divided Workforce {WKC-15782}

WKC-15782 - TERMINATION NOTICE OF DIVIDED-WORKFORCE UNDER S. 102.315(6)(E), WIS. STATS. This form is used by clients to notify the Wisconsin Department of Workforce Development (DWD) that they intend to terminate a divided workforce plan. Under a divided workforce plan, a client may have two separate worker’s compensation insurance policies: one covering leased employees provided through an employee leasing company and another covering the client’s non-leased employees. This form ensures that the department receives all necessary information about the client, the employee leasing company, the insurance policies in place, and the effective termination date of the employee leasing agreement. Filing this form with DWD is mandatory, and the termination of a divided workforce plan does not become effective until ten days after the completed notice is received by the department. The form assists DWD in tracking compliance with Wisconsin worker’s compensation law, ensuring all employees remain properly insured, and providing documentation of responsibility for any compensation disputes that may arise during or after the termination of the plan. www.FormsWorkflow.com