Form Wwc 5 – Fill Out and Use This PDF

Form Wwc 5 is a document designed to help business owners understand their legal and tax responsibilities under the Workplace Safety and Insurance Board. Companies operating in Ontario may be required to submit this vital piece of paperwork in certain situations—for instance, when hiring new employees or self-employed individuals. Form Wwc 5 primarily investigates if workers participate in insurable earning activities, as well as whether benefits will be eligible depending on the type of work completed. By providing detailed information about range of workplace scenarios, it ensures companies are compliant with all associated obligations under WSIB regulations. Moreover, data collected while filling out Form Wwc 5 plays an important role in reducing unintentional injuries within business environments and protecting workers against potential harm.

Form Wwc 5 PDF Details

Employers must file a Form W-2 for each employee to report wages paid and federal income tax withheld during the year. The W-2 form is also used to report Social Security and Medicare taxes withheld from an employee's pay. Employers must provide copies of W-2 forms to employees by January 31st following the end of the calendar year. In order to ensure that Forms W-2 are prepared correctly, it is important to understand which wages are taxable and how federal income tax withholding should be calculated. This blog post will provide an overview of taxable wages and how federal income tax withholding is calculated on Form W-2. Please feel free to comment below with any questions you may have about completing your Form W-2!

Question	Answer
Form Name	Form Wwc 5
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	WWC 5_Fillable_Form _2 20 09 wwc5 pennsylvania form

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WATER WELL RECORD

Form WWC-5

Division of Water Resources App. No.

1 LOCATION OF WATER WELL:

Fraction

Section Number

Township No.

Range Number

County:

E W

Street/Rural Address of Well Location; if unknown, distance & direction

Global Positioning System (GPS) information:

from nearest town or intersection: If at owner’s address, check here .

Latitude: ……………………………… (in decimal degrees)

Longitude: ……………………………. (in decimal degrees)

Elevation: ……………………………..

Datum: WGS 84,

NAD 83,

NAD 27

2 WATER WELL OWNER:

Collection Method:

RR#, Street Address, Box #:

GPS unit (Make/Model: ………………………...………..)

City, State, ZIP Code

Digital Map/Photo,

Topographic Map,

Land Survey

Est. Accuracy:

<3 m,

3-5 m,

5-15 m,

>15 m

3LOCATE WELL

WITH AN “X” IN 4 DEPTH OF COMPLETED WELL …………………………….. ft.

SECTION BOX:

Depth(s) Groundwater Encountered (1)……….….… ft. (2)………..…….. ft. (3)…………..……. ft.

NWELL’S STATIC WATER LEVEL.……………ft. below land surface measured on mo/day/yr………………..

Pump test data: Well water was……...……...ft. after.....…………. hours pumping…....……… gpm

- - NW - -

- - NE - -

EST. YIELD……….gpm. Well water was……….…….ft. after…..……….… hours pumping…...…...…. gpm

Bore Hole Diameter ………….in. to …………..…ft., and …………..in. to ………………ft.

WELL WATER TO BE USED AS:

Public water supply

Geothermal

Injection well

- - SW - -

- - SE - -

Domestic

Feedlot

Oil field water supply

Dewatering

Other (Specify below)

Irrigation

Industrial

Domestic-lawn & garden

Monitoring well

..………….……………

Was a chemical/bacteriological sample submitted to Department?

Yes

If yes, mo/day/yr sample was submitted………..…….……….

|----------1 mile---------|

Water well disinfected?

Yes

5 TYPE OF CASING USED:

Steel

PVC

Other ……………

CASING JOINTS:

Glued

Clamped

Welded

Threaded

Casing diameter ……..….... in. to ………….. ft.,

Diameter ………….. in. to …..….…... ft.,

Diameter ……...….. in. to ……….….. ft.

Casing height above land surface…………..……. in., Weight .……….…….lbs./ft., Wall thickness or gauge No. ..………………….

TYPE OF SCREEN OR PERFORATION MATERIAL:

Steel	Stainless Steel		PVC	Other (Specify) ……………………………………
Brass	Galvanized Steel		None used (open hole)
SCREEN OR PERFORATION OPENINGS ARE:
Continuous slot		Mill slot	Gauze wrapped	Torch cut	Drilled holes	None (open hole)
Louvered shutter		Key punched	Wire wrapped	Saw cut	Other (specify) ………………………………..
SCREEN-PERFORATED INTERVALS: From………..…..…. ft. to ……………..…. ft., From ….…….…...…. ft. to ….……....…..…. ft.
		From………..…..…. ft. to ……………..…. ft., From ….……..…..…. ft. to ….……....…..…. ft.
GRAVEL PACK INTERVALS: From………..…..…. ft. to ……………..…. ft., From ….…….…...…. ft. to ….……....……... ft.
		From………..…..…. ft. to ……………..…. ft., From ….……..…..…. ft. to ….……....…..…. ft.
6 GROUT MATERIAL:		Neat cement	Cement grout	Bentonite	Other ………………………………………………
Grout Intervals:	From ……..……. ft. to ……..……. ft., From …….....…. ft. to ………..…. ft., From ………..…. ft. to …………….ft.
What is the nearest source of possible contamination:

Septic tank	Lateral lines	Pit privy
Sewer lines	Cesspool	Sewage lagoon
Watertight sewer lines	Seepage pit	Feedyard
Direction from well ……………………………………………
FROM TO	LITHOLOGIC LOG

Livestock pens	Insecticide storage	Other (specify below)
Fuel storage	Abandoned water well
Fertilizer storage	Oil well/gas well	………………………………..
Distance from well …………………………………………………….
FROM TO	LITHO. LOG (cont.) or PLUGGING INTERVALS

7 CONTRACTOR’S OR LANDOWNER’S CERTIFICATION: This water well was constructed, reconstructed, or plugged under my jurisdiction and was completed on (mo/day/year) ……………….. and this record is true to the best of my knowledge and belief.

Kansas Water Well Contractor’s License No. …………… This Water Well Record was completed on (mo/day/year) ……….……..………

under the business name of ……….…………..……………….……..………… by (signature) .……..……………….……..………………

INSTRUCTIONS: Use typewriter or ball point pen. PLEASE PRESS FIRMLY and PRINT clearly. Please fill in blanks and check the correct answers. Send one copy to Kansas Department of Health and Environment, Bureau of Water, Geology Section, 1000 SW Jackson St., Suite 420, Topeka, Kansas 66612-1367.

Telephone 785-296-5524. Send one copy to WATER WELL OWNER and retain one for your records. Include fee of $5.00 for each constructed well. Visit us at http://www.kdheks.gov/waterwell/index.html.

KSA 82a-1212

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1. While filling out the Form Wwc 5, be certain to include all needed blank fields in the relevant area. It will help facilitate the work, allowing your details to be handled fast and accurately.

2. Just after filling out this section, go to the next part and fill out all required details in these fields - NW NE W E SW SE, mile, Was a chemicalbacteriological, Yes PVC, No Other, Yes, None open hole, Neat cement, Welded, Threaded, Cement grout, Bentonite, Steel Brass, Torch cut Saw cut, and Steel Clamped.

People who work with this document generally make some errors while filling out Steel Brass in this section. Ensure that you review whatever you enter right here.

3. This third stage is usually easy - complete all the empty fields in TYPE OF CASING USED Glued CASING, LITHOLOGIC LOG, constructed, reconstructed or, FROM, and httpwwwkdheksgovwaterwellindexhtml in order to finish this part.

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Form Wwc 5 – Fill Out and Use This PDF

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