Workers' Compensation Forms for Churches - Submission Due by February 26th

Workers' Compensation Forms for Churches - Submission Due by February 26th

Ross Williams


Dear Church Treasurer and Finance Chair (copy to Pastors),

(This communication is also being sent via U.S. mail to ensure receipt)

As you may know, the Conference uses an on-line collection system for payroll data, which streamlines the process of issuing accurate bills for Workers' Compensation insurance.  It is now time for churches and church-controlled schools, nurseries and day camps to report their final 2017 wages by February 26th using this system.  Treasurers have found the system to be very easy to use in conjunction with the instructions below and the attached "Frequently Asked Questions" document.

Some Background:

All churches, church-controlled schools, nurseries and day camps are required to be included in the master Workers' Compensation policy of the Conference.  To correctly bill premiums, we need to provide payroll data to the insurer for each covered entity.   We use this data once per year to both: a) issue "true-up" premium bills based upon actual payroll for the preceding year (2017), and b) issue estimated premium bills for the current year (2018).  Since bills will always be “trued-up” based upon actual payroll, the church is assured of paying the correct premium regardless of increases or decreases in staff.

Attached is a “Frequently Asked Questions” document about Workers' Compensation, the online system and who to contact with questions.

Listed below are instructions for submitting data.

Please ensure that you submit this data by Monday, February 26th.

If you have technical issues while completing the form, please contact Barbara Eastman at

If you have questions about what data to enter, please contact me at

If you have any general questions about Workers Compensation, please feel free to call me.

Sincerely,  Ross


1) Click on one of the two following links, depending upon whether your church is located in NY or CT:

For CT Churches, schools, nurseries & day camps:

For NY Churches, schools, nurseries, & day camps:

2) Enter the contact details for the person completing the form. This information is essential in case we need to contact you for questions or clarifications on your submission.

3) Choose the name of your church, charge or parish from the drop-down list.  If you do not see it listed, please contact Barbara Eastman at

4) In the next section, click one of the four options depending upon whether you are submitting for only the church or the school/nursery/day camp or both.

5) Insert the Federal Taxpayer ID Number where requested for the church / preschool you are submitting payroll for.

6) Enter the requested payroll and other data into the various categories listed.

7) Click on “Submit Form”

You will then receive an e-mail confirmation that we have received your submission.