Acord 130 Instructions. If yes of employees. ACORD provides licenses through various programs according to your needs.
Acord 130 201301 applicants signature must be officer owner or partner date producers signature national producer number y n agency customer id. If you are using an agent to apply for coverage he or she may be familiar. ACORD 130 200711 Workers Compensation Application ACORDs Workers Compensation Application is a self-contained Commercial Lines application that does not require the completion of the Applicant Information Section ACORD 125.
Do any employees perform work for other businesses or subsidiaries.
IDENTIFICATION Agency Name and Address Enter text. This form must be attached to an acord this form along with an acord 130 workers compensation application constitute an application for the acord name and logo are registered marks of acord. ACORD 130 Instructions ACORD 130 - Workers Compensation Application ACORDs Workers Compensation Application is a self-contained Commercial Lines application that does not require the completion of the Applicant Information Section ACORD 125. ACORD Forms may only be used with a valid license.
