Notice Of Coverage {WC 8} | Pdf Fpdf Doc Docx | Alabama

 Alabama   Workers Compensation 
Notice Of Coverage {WC 8} | Pdf Fpdf Doc Docx | Alabama

Last updated: 4/13/2015

Notice Of Coverage {WC 8}

Start Your Free Trial $ 13.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

WC FORM 8 Rev 10/2012 NOTICE OF COVERAGE TO THE DEPARTMENT OF LABOR DIVISION 649 MONROE STREET SUITE 3816 MONTGOMERY, AL 36131 STATE UNEMPLOYMENT COMPENSATION TAX NUMBER_________________________ FEDERAL ID NUMBER__________________________________________________________ CORPORATION/LLC____________________________________________________________ DOING BUSINESS AS___________________________________________________________ ADDRESS______________________________________________________________________ ADDITIONAL LOCATIONS COVERED____________________________________________ NATURE OF BUSINESS_______________________________NAICS____________________ EFFECTIVE DATE OF POLICY__________________EXPIRATION DATE_______________ POLICY NUMBER______________________________________________________________ INSURANCE CARRIER_________________________________________________________ NCCI CODE___________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com

Related forms

Our Products