Form W.c.u.11 - Non-Resident Employers' Surety Bond (Page 2 of 2) in pdf

Form W.c.u.11 - Non-Resident Employers' Surety Bond Page 2

Non-Resident Employers’ Surety Bond

Page 2

AND THEREFORE, if the anticipated work has ceased before the expiration of twenty-four (24) months, or less than

fifty percent (50%) of the largest work force is still working in Wyoming, the security deposited by the nonresident

employer shall be forfeited and retained by the Workers’ Safety & Compensation Division in an amount equal to the

reserved amounts for compensable injuries to the nonresident employer's employees.

It is agreed by both the principal and surety that in case the principal shall default in the conditions of this obligation,

suit on this obligation may be brought by the Department of Employment in the name of the State of Wyoming, for

the use and benefit of the Workers' Safety and Compensation Division or the Labor Standards Section, and that

neither the principal or surety shall raise or interpose the defense in such suit that the State of Wyoming is not the

proper obligee to be named in this bond provided the amount which may be recovered in such suit be, by order of the

Court having jurisdiction of the suit, paid into Workers' Compensation Fund and applied as a credit to the separate

account of the principal or paid to the Administrator of the Labor Standards Section as trustee for unpaid workers.

THAT the effective date of commencement of the obligations of the Principal and Surety hereunder is the

__________ day of __________________, 20 _____, or the date received by the Workers’ Safety & Compensation,

whichever is later. That if the Principal does pay the wages, or any premiums, and penalties due of the Principal

working in the State of Wyoming, according to law, for that period commencing with the effective date and ending

two years thereafter, then this bond shall be void, otherwise to remain in full force and effect.

Effective date of bond:

the ______ day of _____________________________________ 20 _________.

________________________________________

By:

________________________________________

Principal

_______________________________________

By:

_______________________________________

Attorney-in-Fact, Surety

Form W.c.u.11 - Non-Resident Employers' Surety Bond Page 2