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Document Number: WKC-19841-E
Description: is form can be used by businesses to estimate cash flows under both insured and self-insured program. The results can be useful in evaluating the feasibility of self-insurance for an employer
Comments: For assistance completing this worksheet contact, your insurance representative.
Content Contact: DWD MB WC Self Insurance
Document Attachment: WKC-19841-E (Electronic Version - Excel/14 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
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