Special Escrow Agreement

Special Escrow Agreement - (Forms/Publications)
Document Information
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Title Special Escrow Agreement (A fillable form - 99 KB PDF)
Description Used by self-insured employer as a means to provide surety. This is an agreement between the self-insurer and the bank to hold these securities in trust as collateral for its self-insured program.
Detail
Form number F207-039-000
Availability
Online only. See document above to download.
Keywords escrow account, industrial insurance, self insurance, self insurer, self-insurance, worker's compensation, workers compensation, workers' compensation
Languages English
Valid dates 10-2000
Contact information Self-Insurance
Web pages Insurance for Business
Self-Insured Employers

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