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Hear this out loud PauseThe 130 form is more commonly knowns as the Workers Compensation Application. This application is used to capture policy information specific to what is needed to rate workers compensation including payroll, loss history and other details regarding business operations.
An certificate of insurance is typically a one-page document summarizing key information about your business insurance policy. It is also known as an 25 certificate of insurance, certificate of insurance (COI) or a certificate of liability insurance.
Hear this out loud PauseUnder the FECA, medical evidence must be submitted by a qualified physician. Nurse practitioners and physician assistants are not considered qualified physicians under the FECA unless the medical report is countersigned by a physician.
Hear this out loud PauseForm DWC-7 is a notice to provide injured workers with rights, benefits and contact information. DOWNLOAD DWC-7 FORM.
Hear this out loud PauseThe Employer's Report of Occupational Injury or Illness (Form 5020). Every employer is required to file a complete report of every occupational injury or illness to each employee which results in lost time beyond the date of injury or illness or which requires medical treatment beyond first aid*.