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Get From Wc-105a. Work History, Qualifications & Training Disclosure
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How to fill out the Form WC-105A. Work History, Qualifications & Training Disclosure online
Completing the Form WC-105A is a crucial step in providing your work history and qualifications. This guide will walk you through each section of the form, ensuring you can fill it out accurately and efficiently online.
Follow the steps to complete the form with ease.
- Click ‘Get Form’ button to obtain the form and open it in the editing software of your choice.
- In Section 1 – General Information, fill in your name, Social Security number (last four digits only), street address, city, state, and ZIP code. Make sure your information is accurate.
- Indicate whether you have a valid driver’s license or a government-issued photo ID. If applicable, provide the issuing state and expiration dates.
- Complete Section 2 – Educational / Vocational / Military Background by indicating the highest grade of school completed, whether you graduated high school or obtained a GED, and any additional training or certifications.
- In this section, describe your computer experience and access, including proficiency in any programs, and whether you have an email address.
- Proceed to provide details in Section 3 – Employment Experience. List your jobs chronologically since the age of 18, ensuring you complete a Job Detail Form for each listed job.
- For each job, provide the employer's name, address, type of business, job title, and dates of employment. If you have worked for more than five employers, include additional sheets.
- If applicable, indicate any union employment and provide the union name and local number.
- Once all sections are completed, review your information carefully to ensure accuracy.
- Finally, to save your work, use options available in your editor to download or print the form. You may also share the completed form with relevant parties.
Complete your documents online today for a smoother experience.
$100,000 per occurrence for bodily injury: This coverage is for any one employee. $100,000 per employee for bodily disease: This coverage is for any one employee. $500,000 policy limit for injury by bodily disease: This coverage is the total per policy term for all claims in a policy term.
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