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, non mandatory, worker's compensation, workers compensation
Idiomas English
Fechas válidas 03-2013
Contacto Managing Injured Workers' Claims
Claims for Job Injuries
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