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Primary Employer's Business Name/Insured Federal Tax ID No. Current Policy No. DWC Use Only (Microfilm) LOCATIONS OF EMPLOYERS' BUSINESS(ES) Please Type DWC FORM-5 DWC FORM-20 Please list additional
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How to fill out primary employer39s business nameinsured

How to fill out primary employer's business name/insured:
01
Locate the field labeled "Primary Employer's Business Name/Insured" on the form.
02
Enter the legal business name of your primary employer in this field. This is the name under which their business is registered.
03
Make sure to accurately spell and capitalize the business name as it appears on official documents.
04
If you are unsure about the correct business name, check with your employer's HR department or refer to any official documentation provided to you.
05
Double-check the accuracy of the entered business name before submitting the form.
Who needs primary employer's business name/insured:
01
Employees who are completing a form related to their employment or insurance.
02
Individuals who need to provide this information to their insurance company, benefits provider, or government agency.
03
Any person who is required to accurately identify and provide information about their primary employer's business name on a particular form or document.
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