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Get BWC AC-26 - Join SOGGDA Group Rating

This form supersedes any previously filed AC-26. I understand only a BWC group-experience-rating program certified sponsor can offer membership into the program. I also understand if the sponsoring organization listed below is not certified this application is null and void. I am a member of the SOGGDA sponsoring organization or a certified affiliate organization and would like to be included in the group named it sponsors for the policy year beg.

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