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COMPENSATION RATING AND INSPECTION BUREAU 60 PARK PLACE NEWARK, NEW JERSEY 07102 (973) 6226014 FREDERICK A. HUBER Executive Director PAUL G. WI TKO, ESQ. Associate Executive Director General Counsel
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Experiencemodorderformdoc is a form used to report a company's experience modification rate to insurance carriers.
Any business with an experience modification rate must file experiencemodorderformdoc.
Experiencemodorderformdoc can be filled out by providing information on the company's payroll, claims history, and other relevant data.
The purpose of experiencemodorderformdoc is to help insurance carriers determine the appropriate premium for a business based on its claims history.
Information such as payroll data, claims history, and other relevant data must be reported on experiencemodorderformdoc.
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