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This form is used for reporting the annual payroll of self-insurers by city, town, or county school boards in Virginia.
This form is used for reporting the annual payroll of a city, town, or county that operates as a self-insurer in Virginia. It provides information on the wages paid to employees and helps in determining insurance premiums.
This form is used for obtaining a self-insured bond in the state of Kentucky. It provides a way for individuals or businesses to demonstrate their ability to cover potential losses or liabilities without purchasing traditional insurance.
This Form is used for self-insurers in New York to report their payroll for all operations.
This form is used for applying as a training provider to offer self-insurance core curriculum training in Washington.
This form is used for political subdivisions in New York to notify the state of their election to self-insure for various purposes.
This Form is used for applying for a Certificate of Approval to conduct workers' compensation self-insurance group (SIG) business in the state of Texas.