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.
Employer's statement of wage earnings preceding date of accident. • attaching payroll documentation, which includes. Promptly report accurate wage and attendance information about the injured.
• attaching payroll documentation, which includes. • 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.
