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1600 E Century Ave, Ste 1 PO Box 5585 Bismarck ND 585065585 Telephone 8007775033 Toll Free Fax 8887868695 TTY (hearing impaired) 8003666888 Fraud and Safety Hotline 8002433331 www.workforcesafety.comEXPENSE

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How to fill out wc premium certificate

01

Obtain the required form for the workers' compensation premium certificate

02

Fill in the specific information about your business, such as name, address, and contact information

03

Provide details about your employees, including the number of workers and their job responsibilities

04

Include information about your insurance coverage, such as the policy number and coverage limits

05

Double-check all the information for accuracy and completeness

06

Submit the completed certificate to the appropriate party, such as an insurance provider or regulatory agency

Who needs wc premium certificate?

01

Business owners who are required by law to provide proof of workers' compensation insurance coverage typically need a workers' compensation premium certificate.

02

Insurance companies may also request a workers' compensation premium certificate to verify coverage before issuing a policy.

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What is wc premium certificate?

The workers' compensation premium certificate is a document certifying the amount of premium paid by an employer to provide workers' compensation insurance coverage for their employees.

Who is required to file wc premium certificate?

Employers who have workers' compensation insurance coverage for their employees are required to file the workers' compensation premium certificate.

How to fill out wc premium certificate?

The workers' compensation premium certificate can typically be completed online through the insurance company's portal or by submitting a paper form with the necessary information.

What is the purpose of wc premium certificate?

The purpose of the workers' compensation premium certificate is to provide proof of insurance coverage for employees in case of work-related injuries or illnesses.

What information must be reported on wc premium certificate?

The workers' compensation premium certificate typically includes information such as the employer's name, policy number, coverage dates, premium amount, and classification codes.

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