Form D-8 PDF Details

Page 2 prints NRS 616C.420, Method of determining average monthly wage.

Payroll period: the payroll period will be used to determine the Average Monthly Wage (AMW); mark only the option that applies.

Blank fields: complete all questions, enter N/A for any fields that do not apply.

Documentation: the supporting documentation must include specific and sufficient notes and/or explanations to ensure the calculations can be verified.

Payroll information: provide payroll information for the payroll period entered in Section 3.

QuestionAnswer
Form NameForm D-8
Form Length2 pages
Fillable?Yes
Fillable fields121
Avg. time to fill out21 min
EditionRev 11/23
Filing deadlineWithin six (6) working days of 1) receiving a claim for compensation when the C-4 form indicates the injured employee is expected to be off work for five (5) days or more and/or 2) when requested by the insurer/TPA
Other namesD-8, D8, Form D-8, Form D8, Employer's Wage Verification Form
Official sourceForm D-8 (Rev. 11/23), Nevada Division of Industrial Relations