Special Escrow Agreement
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Special Escrow Agreement (A fillable form - 99 KB PDF)
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| 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. |
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| 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
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| Web pages | Insurance for Business Self-Insured Employers |
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