SCDCA Form PEO-09 Workers' Compensation Affidavit of Insurance - South Carolina

SCDCA Form PEO-09 Workers' Compensation Affidavit of Insurance - South Carolina

What Is SCDCA Form PEO-09?

This is a legal form that was released by the South Carolina Department of Consumer Affairs - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the SCDCA Form PEO-09?
A: The SCDCA Form PEO-09 is an Affidavit of Insurance for Workers' Compensation in South Carolina.

Q: What is Workers' Compensation?
A: Workers' Compensation is a type of insurance that provides benefits to employees who are injured or become ill as a result of their job.

Q: Who is required to file the SCDCA Form PEO-09?
A: Companies that provide Workers' Compensation coverage through a Professional Employer Organization (PEO) in South Carolina are required to file the SCDCA Form PEO-09.

Q: What information is needed to complete the SCDCA Form PEO-09?
A: The form requires information about the PEO, the employees covered under the policy, and the insurance company providing the coverage.

Q: Is there a deadline for filing the SCDCA Form PEO-09?
A: Yes, the SCDCA Form PEO-09 must be filed within 30 days of the effective date of the Workers' Compensation policy.

Q: What are the consequences of not filing the SCDCA Form PEO-09?
A: Failure to file the SCDCA Form PEO-09 can result in penalties and fines for the company.

Q: Do I need to provide proof of Workers' Compensation coverage with the SCDCA Form PEO-09?
A: Yes, the SCDCA requires proof of Workers' Compensation coverage, such as a certificate of insurance or policy declaration page, to be submitted with the form.

Q: Who should I contact if I have questions about the SCDCA Form PEO-09?
A: If you have questions about the SCDCA Form PEO-09, you can contact the South Carolina Department of Consumer Affairs (SCDCA) for assistance.

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Form Details:

  • Released on July 1, 2019;
  • The latest edition provided by the South Carolina Department of Consumer Affairs;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of SCDCA Form PEO-09 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Consumer Affairs.

Download SCDCA Form PEO-09 Workers' Compensation Affidavit of Insurance - South Carolina

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