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SUPPLEMENTAL INFORMATIONADDENDUM TO GROUPSELFINSURANCE FUND ANNUAL REPORTDEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS COMPENSATION1. Name of fund2. Insurer defund ADMINISTRATORFISCAL AGENT(if different from Fund Administrator)Company accompany recontact personContact personAddressAddressAddressAddressCity/TownStateZIPCity/TownStateZIPTelephoneTelephoneEmailEmailAPPLICATION.
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Obtain a copy of form LM-1 labor organization.
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Fill in the details of the labor organization, including name, address, and contact information.
03
Provide information on the organization's structure, including the names and titles of officers and trustees.
04
Disclose any agreements or arrangements with employers or other organizations.
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Sign and date the form before submitting it as required.

Who needs form lm-1 labor organization?

01
Labor organizations are required to fill out form LM-1 to disclose financial information to the Department of Labor.
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Form LM-1 is a form that labor organizations are required to file with the Department of Labor in the United States.
Labor organizations that represent employees are required to file Form LM-1.
Form LM-1 can be filled out electronically or by hand. The form requires information about the labor organization's finances, structure, and activities.
The purpose of Form LM-1 is to provide transparency and accountability in the operations of labor organizations.
Information such as the labor organization's receipts, disbursements, assets, liabilities, and salaries of officers and employees must be reported on Form LM-1.
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