Minnesota Administrative Rules

5222.3006 ANNUAL REPORTING BY QUALIFIED EMPLOYER.

Subpart 1.

Content of report.

Each qualified employer shall make an annual report, as provided in Minnesota Statutes, section 176.130, subdivision 5, paragraph (b), on a form prescribed by the commissioner containing the following information:

A.

name and address of qualified employer;

B.

Social Security number and federal and state employer identification numbers of qualified employer;

C.

reporting period dates;

D.

total amount of payroll dollars paid to loggers;

E.

name and address or workers' compensation insurer;

F.

proof of premium dollars paid for loggers, which may include copies of canceled checks or receipts from insurers;

G.

certification of attendance, for each full-time logger, at a safety seminar established or approved by the commissioner; and

H.

supporting documentation or other information requested by the commissioner.

Subp. 2.

No extensions.

An employer must satisfy the requirements of Minnesota Statutes, section 176.130, subdivision 1, paragraph (f), in order to be categorized as a qualified employer. A qualified employer must report timely and fully under this part and Minnesota Statutes, section 176.130, subdivision 5, paragraph (b), to be eligible for any rebate. No extensions are allowed pursuant to Minnesota Statutes, section 176.130, subdivision 6.

Subp. 3.

Incomplete reports.

Reports not in compliance with this part will not be accepted for filing and do not satisfy reporting requirements.

Statutory Authority:

MS s 175.17; 176.83

History:

15 SR 1847

Published Electronically:

June 11, 2008