Are you a Maryland resident looking to file Form C-2 with the Comptroller? Filing taxes can be complicated, but luckily filing a Mdwcc Form C 2 doesn't have to be. In this post, we'll explain what doing so entails and how best to go about it. We understand that navigating the Maryland state tax system is no small task – especially when it comes time to file your returns – so hopefully after reading this blog you’ll feel more confident and knowledgeable about submitting your documentation correctly.
| Question | Answer |
|---|---|
| Form Name | Mdwcc Form C 2 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | COMAR, mdwcc form c 2, claimant, Inclusive |
WORKERS' COMPENSATION COMMISSION
Statement of Wage Information
The information below is provided pursuant to COMAR 14.09.01.07 and LE,
This form should be submitted before the consideration date or to provide updated wage information. When a claim has already been filed, a copy of this form shall be sent to the Workers' Compensation Commission and the claimant or his/her attorney.
Injured Employee Name: |
Date: |
Social Security Number: |
WCC Claim Number: |
*Was this employee provided free rent, lodging, board, tips or other allowances in addition to the above earnings? If “yes”, the weekly or
When the employee is paid weekly, complete each row for the most recent 14 weeks where wages were paid. If paid alternate weeks please enter in the clear,
wage. If less than 14 weeks were worked by the employee, use the worksheet on page 2.
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Week # |
Week Ending |
Days Worked |
Gross Wages |
Other Allowances* |
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Total |
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(MM/DD/YYYY) |
including overtime |
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Amount Paid |
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1 |
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2 |
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TOTALS |
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divided by number weeks |
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= Average Weekly |
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TOTAL |
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worked (where wages are |
14 |
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Wage |
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paid/indicated) |
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CERTIFICATION OF SERVICE -
I hereby certify that on the above date, a copy of this Statement of Wage form was mailed to the Workers' Compensation Commission and the claimant or his/her attorney.
SUBMITTED BY:
Name |
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Signature |
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Company |
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City |
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State |
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ZIP Code |
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Telephone |
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10 East Baltimore Street Baltimore, Maryland |
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Email: info@wcc.state.md.us |
Web: http://www.wcc.state.md.us |
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MDWCC Form |
Page 1 of 2 |
WORKERS' COMPENSATION COMMISSION
Statement of Wage Information
CALCULATION OF AVERAGE WEEKLY WAGE WHEN CLAIMANT
IS PAID OTHER THAN WEEKLY OR
A. |
Inclusive dates used in wage statement |
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to |
B.Number of days used in calculation (Minimum 98 days to capture 14 weeks)
C.Gross wages
(including overtime, free rent, lodging, board, tips & other allowances)
D.Daily Rate (C ÷ B)
E.Average Weekly Wage (D x 7)
Average Weekly Wage (E) =
(Please enter this amount on page 1 as Average Weekly Wage)
10 East Baltimore Street Baltimore, Maryland
MDWCC Form |
Page 2 of 2 |