Application for Elective Coverage - Sole Proprietor, Partners, For-Profit Corporate Officers, or Member/Managers of Limited Liability Company (LLC)

Información del documento
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Título

Application for Elective Coverage - Sole Proprietor, Partners, For-Profit Corporate Officers, or Member/Managers of Limited Liability Company (LLC)

(162 KB PDF)
Descripción

Used by employers to apply for workers' compensation coverage for non-mandatory employment. Shows a list of categories of employment that are not considered mandatory to have workers' compensation.

Detalle
Número del formulario F213-042-000
Disponibilidad Online only
Palabras claves exempt, industrial insurance, insurance reporting, member coverage, non mandatory, officer coverage, optional coverage, owner coverage, voluntary coverage, worker's compensation, workers compensation
Idiomas English
Fechas válidas 03-2013
Contacto Managing Injured Workers' Claims
Claims for Job Injuries
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