Self Insurance Templates

This document is for those who want to become a workers' compensation self-insurance fund in the state of Louisiana. It is an application form that needs to be filled out and submitted to the relevant authorities.

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.