Construction Contractor's Application for Workers' Compensation Account with No Workers or Hours
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Construction Contractor's Application for Workers' Compensation Account with No Workers or Hours (A fillable form - 20 KB PDF)
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| Description | Used by employers with no employees or worker hours to report but need an open account for contract bidding process. |
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| Detail | ||
| Form number | F625-077-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | account verification, applicant, industrial insurance, insurance coverage, verification, verify, worker's compensation, workers compensation | |
| Languages | English | |
| Valid dates | 12-2012 | |
| Contact information | ||
| Web pages | Verify Workers' Comp Coverage | |
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