Application for Elective Coverage of Excluded Employments

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Title Application for Elective Coverage of Excluded Employments

Used by employers to request coverage of workers' compensation for non-mandatory employment. Shows a list of employment categories to choose from that are not included within the mandatory coverage of workers' compensation.

Document number F213-112-000
How to get this document
Keywords community service, coverage, domestic servant, elective coverage, employment, entertainer, excluded employment, insurance agents, insurance brokers, insurance solicitors, jockey, musician, newspaper carriers, optional coverage, volunteer, volunteers
Alt Language(s)
Valid dates 12/2013
Contact information Managing Injured Workers' Claims
Websites Insurance for Business

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