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Texas Workers Compensation Self-Insurance Group (SIG) Employer Membership Form

State:
Texas
Control #:
TX-FIN467-WC
Format:
PDF
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Description

Workers Compensation Self-Insurance Group (SIG) Employer Membership Form Texas Workers Compensation Self-Insurance Group (SIG) Employer Membership Form is a document that employers must fill out in order to become a member of the Texas Workers Compensation Self-Insurance Group. This form requires employers to provide information related to their business, such as company name, address, contact information, and financial information. The employer must also provide details of any prior workers’ compensation insurance coverage, the number of employees, and the type of work their employees perform. Upon completion of the form, the employer must submit the form, along with the appropriate fee, to the Texas Workers Compensation Self-Insurance Group. There are two types of Texas Workers Compensation Self-Insurance Group (SIG) Employer Membership Forms. The first type is for employers who are first-time members of the Texas Workers Compensation Self-Insurance Group. The second type is for employers who are renewing their membership with the Texas Workers Compensation Self-Insurance Group.

Texas Workers Compensation Self-Insurance Group (SIG) Employer Membership Form is a document that employers must fill out in order to become a member of the Texas Workers Compensation Self-Insurance Group. This form requires employers to provide information related to their business, such as company name, address, contact information, and financial information. The employer must also provide details of any prior workers’ compensation insurance coverage, the number of employees, and the type of work their employees perform. Upon completion of the form, the employer must submit the form, along with the appropriate fee, to the Texas Workers Compensation Self-Insurance Group. There are two types of Texas Workers Compensation Self-Insurance Group (SIG) Employer Membership Forms. The first type is for employers who are first-time members of the Texas Workers Compensation Self-Insurance Group. The second type is for employers who are renewing their membership with the Texas Workers Compensation Self-Insurance Group.

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Texas Workers Compensation Self-Insurance Group (SIG) Employer Membership Form