WebJan 1, 2009 · Proof of Coverage (POC) data is submitted to the Division of Workers' Compensation according to the International Association of Industrial Accident … WebName of Insurance Carrier: Name of Individual or Business Conducting the Audit: (If other than an employee of the Insurance Company) Name of Insured: Policy Number: Policy …

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WebThis tool also provides the ability to search by the insurance company’s name or assigned number to obtain class codes and number of policies written by the insurance company. For additional assistance identifying a governing class code, contact NCCI at 1-800-622-4123. Webdelaying, or diminishing the amount of payment of any workers’ compensation premiums. Individual’s Printed Name . Title Signature (Attach copy of proof of identification) Date . OIR-B1-1561 . REV. 07/2003 list of anonymous objects

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Webdelaying, or diminishing the amount of payment of any workers’ compensation premiums. Signing this statement does not waive my right to dispute any part of the auditor’s interpretations, findings or judgment. Partner’s, Sole Proprietor’s or Corporate Officer’s Printed Name . Title Signature (Attach copy of proof of identification) Date WebFlorida workers’ compensation exemptions differ for construction or non-construction businesses.The Division of Workers’ Compensation also has different rules for corporations and limited liability companies (LLCs) to be eligible for exemption. 1 Massachusetts workers’ compensation law allows corporate officers to file for an … WebAlthough a client company of an employee leasing company or a Professional Employer Organization (PEO) may be listed as having coverage, it is important to note that only the workers reported to and accepted by the employee leasing company or PEO have workers' compensation coverage. list of annual training required by osha