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How to fill out the ERM-14 online
The ERM-14 form is a vital document for reporting ownership changes related to insurance coverages. Completing this form accurately ensures compliance with your workers' compensation policy and facilitates the proper assessment of premiums.
Follow the steps to complete the ERM-14 form successfully.
- Press the ‘Get Form’ button to access and open the ERM-14 form in your preferred online editor.
- Identify the purpose of submitting the form by selecting the appropriate option. You may check one of the following: name change only, combination of separate entities, sale or transfer of ownership, merger or consolidation, formation of a new entity, or establishment of a trustee.
- In column A, provide the name and street address of the entity before the ownership change. Ensure to specify the legal status, ownership details, and list owners as required.
- For any ownership change, specify the date of the change, acquisition, or combination along with your carrier information, policy number, and effective date.
- If applicable, answer questions 1 to 3 to confirm any prior names used, majority ownerships related to other entities, or previous ownership relationships in the past four years.
- If there is a sale or transfer of ownership interest, provide complete ownership information in column A for the prior owner and column B for the new owner.
- Certify that the information provided is accurate, including your signature, printed name, title, and the date the change was reported to your insurance carrier.
- After completing the form, you can save your changes, download a copy, print it for your records, or share it as needed.
Complete your ERM-14 form online today to ensure your insurance records are up to date.
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An NCCI code is a numerical code assigned to classify the type of work done by a business for workers' compensation purposes. These codes help insurance companies determine the risk associated with different industries and set appropriate premiums. If you're looking to understand your NCCI code better or how it relates to your ERM-14 filings, US Legal Forms has the resources to assist you.
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