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  • Erm-14 Form - Delaware Compensation Rating Bureau

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INSTRUCTIONS FOR COMPLETING AN ERM-14 FORM I. PURPOSE AND EFFECTIVE DATE OF CHANGE A. COMBINATION OF SEPARATE ENTITIES 1. Two or more entities sharing common ownership (more than 50% common ownership.

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How to fill out the ERM-14 Form - Delaware Compensation Rating Bureau online

Filling out the ERM-14 Form is essential for reporting ownership changes to the Delaware Compensation Rating Bureau. This guide provides step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the ERM-14 Form with ease.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by providing the purpose of the change in ownership. Choose one of the options such as name change, combination of entities, merger, consolidation, or others as listed on the form.
  3. Fill out the entity's name and location before the change. Ensure that the name is complete and that P.O. Box numbers are not used.
  4. Enter the policy number and effective date, if known. This information is crucial for tracking purposes.
  5. List the Rating ID number if available. This is often the Bureau file number that identifies your entity.
  6. Provide the legal status of the entity, such as corporation, partnership, or sole proprietor, in the designated column.
  7. Detail the ownership information by listing all owners and their respective ownership percentages in the required columns.
  8. If applicable, include columns for entities being combined, specifying the ownership information for all involved entities.
  9. Complete the back of the form regarding employee retention, as required, to account for employees retained through ownership change.
  10. Ensure that the form is signed by the sole proprietor, partner, or executive officer, and include their title for validation purposes.
  11. After completing all sections, review your entries for accuracy, then save changes and download the form for your records. You can also print or share it as needed.

Complete your ERM-14 Form online today for efficient filing and management.

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The ERM-14 form is used to request ownership information and may be used in a variety of instances, including when there has been a change in ownership, when an entity needs to be added later or when multiple entities need to be considered for combinability.

The ERM-14 is a confidential form completed by the insured and submitted to the NCCI for the purpose of assisting the various workers' compensation bureaus to verify coverage and determine combinability of entities as it relates to premium calculation.

The ERM-14 Form may be submitted via online application or PDF for reporting changes in ownership, mergers, consolidations, or a combination of entities. Submit Your Experience Rating Ownership Request Online—including electronic signature! Other Options: ERM-14 Form Instructions (PDF)

The ERM-14 form is used to request ownership information and may be used in a variety of instances, including when there has been a change in ownership, when an entity needs to be added later or when multiple entities need to be considered for combinability.

The ERM-14 Form may be submitted via online application or PDF for reporting changes in ownership, mergers, consolidations, or a combination of entities. Submit Your Experience Rating Ownership Request Online—including electronic signature!

Why is the ERM-14 form necessary? to the state for proof of coverage reporting. If the employer's name or entity type has changed, the proof of insurance coverage may not get reported accurately. As a result, the employer may receive a letter from the state asking for proof of coverage.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232