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WV BrickStreet BI-3 2008-2023 free printable template
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BI-3 For Backstreet Use Only Claim Number: Employer s Report of Injury EMPLOYEE INFORMATION EMPLOYER INFORMATION 1. Backstreet Insurance Policy Number: 2. VEIN or SSN: 08/08 Team Assigned: 3. Nature
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How to fill out wv employer report form

How to fill out the WV employer report?
01
Gather all the necessary information and documents, such as employee payroll records, tax identification numbers, and annual financial statements.
02
Complete the identification section of the report, including the employer's name, address, contact information, and business identification number.
03
Provide details about each employee, such as their names, social security numbers, wages, and hours worked during the reporting period.
04
Calculate and report the total wages paid to each employee and the corresponding state, federal, and local taxes withheld for each of them.
05
Include information about any additional benefits or compensation provided to employees, such as retirement plans or health insurance.
06
Provide accurate information regarding any new hires, separations, or changes in employment status during the reporting period.
07
Verify all calculations and ensure the report is accurate and error-free before submitting it to the appropriate authority.
Who needs the WV employer report?
01
All employers in West Virginia who have employees working within the state are required by law to submit the WV employer report.
02
This report is necessary for ensuring compliance with state tax regulations and to accurately track and record employment and wage data.
03
Employers must file the report annually to provide an overview of their workforce, wages paid, and taxes withheld during the reporting period.
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