Wyoming Department of Workforce Services Forms

This document is used for amending the employee wage listing in Wyoming.

This document is a surety bond required for non-resident employers in Wyoming. It is used to ensure that these employers fulfill their obligations and responsibilities towards their employees in the state.

This document is used for filing a complaint in the state of Wyoming.

This document outlines the guidelines and procedures for safely handling and storing chemicals in Wyoming. It provides information on how to protect workers from chemical hazards and ensure compliance with state regulations.

This type of document determines the transfer of experience rate for workers in Wyoming. It is used to calculate the rate at which an employee's experience is transferred from one employer to another for certain employment benefits.

This document is for declaring that the affiant is a 100% resident of Wyoming.

This document is used to certify that an individual or company meets the criteria of being a Wyoming resident CEO or equivalent and having more than 50% ownership by Wyoming residents.

This document is used for confirming the residency status of a Wyoming resident CEO or equivalent with less than 50% ownership by Wyoming residents.

This document is for applying for the Workers' Compensation Deductible Program in Wyoming. It allows employers to choose a deductible for their workers' compensation insurance.

This document is for requesting a certificate of coverage for workers' compensation and unemployment insurance in the state of Wyoming. It is necessary to demonstrate compliance with insurance requirements.

This Form is used for granting someone the authority to act on your behalf in Wyoming as a Power of Attorney.

This document is used for notifying the state of Wyoming about changes in corporate officers of a company based in Wyoming.

This Form is used for submitting payment for taxes owed in the state of Wyoming.

This document is used for confirming the amount of monthly payroll in Wyoming. It serves as a sworn statement to validate the payroll information provided.

This form is used for applying for coverage under the outside sales classification in Wyoming.

This form is used by employers in Wyoming to apply for the apportionment of claims costs. It allows employers to request a share of the costs associated with workers' compensation claims to be distributed among multiple employers.

This form is used for applying for the certification of the Drug-Free Workplace Premium Credit Program in Wyoming.

This Form is used for claiming reimbursement for pharmacy or medical supplies in the state of Wyoming.

This document is used for providing an initial medical report by a health care provider in the state of Wyoming. It contains important information about the patient's medical condition and treatment plan.

This form is used for claiming reimbursement for home nursing services in the state of Wyoming.

This document provides a summary report and wage listing for workers' compensation in Wyoming. It contains important information for employers and workers regarding compensation for work-related injuries.

This document is for additional businesses that need to be included in a pre-hire application for the state of Wyoming.

This document is for applying for a grant in Wyoming before hiring employees.

This document is a grant application form that must be completed before receiving any funds or support in the state of Wyoming.

This document provides additional information about an employer in the state of Wyoming. It is used to gather more details about the employer for various purposes such as tax filings or employment verification.

This document is for applying for the Apprenticeship Grant in the state of Wyoming. It provides information and instructions on how to apply for financial assistance for apprenticeship programs.

This document is used for applying for an internship grant in the state of Wyoming.

This document is a preauthorization check sheet specific to the lumbar artificial disc procedure in Wyoming. It is used to gather necessary information and ensure proper authorization for this specific medical procedure.

This document is used for conducting a preauthorization check for the Cervical Artificial Disc procedure in the state of Wyoming.

This document is used for conducting a preauthorization check for a spinal cord stimulator or dorsal root ganglion (DRG) stimulator trial in Wyoming. It helps ensure that the patient meets the necessary criteria for the procedure and helps facilitate approval from the insurance company.

This document is used for conducting a preauthorization check for a permanent Spinal Cord Stimulator or DRG Stimulator in the state of Wyoming.

This Form is used for conducting a preauthorization check for spinal fusion procedures in Wyoming.

This document is a report of injury form specific to the state of Wyoming. It is used to report any workplace injuries that occur in Wyoming. The form collects information about the injured person, the date and location of the incident, and details about the injury itself. Employers are required to fill out this form and submit it to the appropriate authorities.

This form is used for reporting fraud in the state of Wyoming. It allows residents to provide detailed information about potential fraudulent activities for further investigation.

This document is for collecting information on vendors for vendor management purposes in the state of Wyoming. It helps in keeping track of important details about vendors and their services.