Get a Form or Publication: coverage agreement

Your search for "coverage agreement" returned 4 documents.

Title Type Number
Application for Exclusion/Inclusion - Mandatory Coverage (Family Farm)

To exclude or include coverage for a family farm's children.

Form F213-113-000
Coverage Agreement

An agreement between a worker and employer which states the worker's employment is principally localized in Washington state or another state.

Form F212-044-000
Sports Player Coverage Agreement

Used by a sports team or league and professional athlete (player) to declare that the player's work is principally localized in another state in accordance to the provisions of RCW 51.12.120 and WAC 296-17-32503.

Form F212-242-000
Sports Teams Coverage Agreement

Used by a sports team or league covering their Washington players through an out-of-state workers' compensation insurance carrier to confirm compliance with RCW 51.12.120 and WAC 296-17-32503.

Form F212-196-000



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