Form C240 (BWC1372) Download Fillable PDF or Fill Online Settlement
Form C-240. Employer's statement of wage earnings preceding date of accident. Promptly report accurate wage and attendance information about the injured.
• attaching payroll documentation, which includes. Promptly report accurate wage and attendance information about the injured. Employer's statement of wage earnings preceding date of accident.
Employer's statement of wage earnings preceding date of accident. • attaching payroll documentation, which includes. Employer's statement of wage earnings preceding date of accident. Promptly report accurate wage and attendance information about the injured.
