Cancellation of Elective Coverage for Excluded Employments

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Title   Cancellation of Elective Coverage for Excluded Employments (123 KB PDF)
Description Used by employers to get the categories of employment that are not considered mandatory to have workers' compensation. If they had elected to have coverage this form is used to cancel previously elected coverage of workers' compensation.
Detail
Form number F213-005-000
Availability
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Keywords exempt, industrial insurance, insurance coverage, insurance reporting, non mandatory, non-mandatory, worker's compensation, workers compensation
Languages English
Valid dates 10-2002
Contact information Managing Injured Workers' Claims
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Web pages Insurance for Business

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