Construction Contractor's Application for Workers' Compensation Account with No Workers or Hours

Construction Contractor''s Application for Workers'' Compensation Account with No Workers or Hours - (Forms/Publications)
Document Information
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Used by employers with no employees or worker hours to report but need an open account for contract bidding process.

Form number F625-077-000
Online only. See document above to download.
Languages English
Valid dates 12-2012
Contact information
Web pages Verify Workers' Comp Coverage

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