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Application is hereby made to the NEW YORK STATE INSURANCE FUND for a policy insuring the applicants#39’s liability for the ... UE-4 m (Revised 02-2013).
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How to fill out workers39 compensation insurance application
How to fill out workers39 compensation insurance application
01
Gather all the necessary information and documentation needed to fill out the workers' compensation insurance application.
02
Start by providing the basic details of your business, such as its name, address, and contact information.
03
Indicate the number of employees you have and provide their names and job titles.
04
Specify the classification codes for each employee based on their job duties and responsibilities.
05
Provide information about your previous workers' compensation insurance coverage, if any.
06
Fill out the sections related to claims history, including any past or pending claims.
07
Complete the financial information section by providing details about your company's payroll and revenue.
08
Ensure all the information provided is accurate and up-to-date.
09
Review the completed application form thoroughly and make any necessary corrections.
10
Submit the filled-out workers' compensation insurance application to the relevant insurance provider or authority.
Who needs workers39 compensation insurance application?
01
Employers who have employees under their payroll usually need workers' compensation insurance.
02
Businesses that operate in industries where employee injuries or accidents are common, such as construction or manufacturing, typically require workers' compensation insurance.
03
State laws may mandate certain employers to carry workers' compensation insurance, regardless of the industry.
04
Employers who want to protect their business from potential lawsuits and financial liabilities resulting from work-related injuries or illnesses should consider obtaining workers' compensation insurance.
05
Companies that care about the well-being and safety of their employees and want to provide them with necessary benefits in case of an on-the-job injury should have workers' compensation insurance.
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