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This document serves as an application for commercial auto insurance in Wyoming, detailing coverage options, limits, and important disclaimers related to personal information and fraud prevention.
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How to fill out ACORD 137 WY (2012/01)

01
Obtain a copy of ACORD 137 WY (2012/01) form.
02
Fill in the insurance company's name and address at the top of the form.
03
Enter the policyholder's information including their name, address, and contact details.
04
Specify the type of coverage and limits being requested.
05
Provide the effective date and expiration date for the insurance coverage.
06
Include any specific endorsements or additional coverage options needed.
07
Review all entered information for accuracy.
08
Sign and date the form where required.

Who needs ACORD 137 WY (2012/01)?

01
Insurance agents and brokers facilitating commercial property insurance.
02
Business owners applying for property insurance coverage.
03
Insurance companies processing property insurance requests.
04
Regulatory bodies requiring documentation of insurance coverage.
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ACORD 137 WY (2012/01) is a form used in the insurance industry to report specific data related to workers' compensation insurance in Wyoming.
Insurance carriers or companies providing workers' compensation coverage in Wyoming are required to file ACORD 137 WY (2012/01).
To fill out ACORD 137 WY (2012/01), insurers must provide accurate information regarding the policyholder, coverage details, loss experience, and other pertinent data as stipulated in the instructions accompanying the form.
The purpose of ACORD 137 WY (2012/01) is to ensure consistent reporting of workers' compensation insurance data, which aids in regulatory compliance and data analysis.
Information that must be reported on ACORD 137 WY (2012/01) includes the policy number, insured's name and address, payroll amounts, loss experience, and any other details required by the Wyoming Department of Workforce Services.
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