Employers Application for Claims Cost Apportionment - Wyoming

Employers Application for Claims Cost Apportionment - Wyoming

Employers Application for Claims Cost Apportionment is a legal document that was released by the Wyoming Department of Workforce Services - a government authority operating within Wyoming.

FAQ

Q: What is the Employers Application for Claims Cost Apportionment in Wyoming?A: The Employers Application for Claims Cost Apportionment is a form used in Wyoming for employers to apply for apportionment of claims costs.

Q: What is meant by apportionment of claims costs?A: Apportionment of claims costs means that the employer is requesting to have a portion of the costs associated with a workers' compensation claim assigned to another entity.

Q: Who can use the Employers Application for Claims Cost Apportionment?A: Employers in the state of Wyoming can use the Employers Application for Claims Cost Apportionment form.

Q: How can employers apply for claims cost apportionment?A: Employers can apply for claims cost apportionment by completing the Employers Application for Claims Cost Apportionment form and submitting it to the Wyoming Workers' Safety and Compensation Division.

Q: What is the purpose of the Employers Application for Claims Cost Apportionment?A: The purpose of the form is to allow employers to request apportionment of claims costs in order to potentially share the financial responsibility for a workers' compensation claim with another entity.

Q: Are there any eligibility requirements to use the Employers Application for Claims Cost Apportionment?A: Yes, employers must meet certain criteria, such as having paid into the Wyoming Workers' Safety and Compensation Fund, in order to be eligible to use the form.

Q: What information is required on the Employers Application for Claims Cost Apportionment?A: The form requires employers to provide information about the workers' compensation claim, the entity they are requesting apportionment with, and their reasons for requesting apportionment.

Q: Is there a deadline for submitting the Employers Application for Claims Cost Apportionment?A: Yes, the form must be submitted within one year from the date of the workers' compensation claim.

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Form Details:

  • Released on August 1, 2017;
  • The latest edition currently provided by the Wyoming Department of Workforce Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Wyoming Department of Workforce Services.

Download Employers Application for Claims Cost Apportionment - Wyoming

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