CNG Form 1028 Notice of Election to Self-insure - Texas

CNG Form 1028 Notice of Election to Self-insure - Texas

What Is CNG Form 1028?

This is a legal form that was released by the Railroad Commission of Texas - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is CNG Form 1028?
A: CNG Form 1028 is the Notice of Election to Self-insure form.

Q: Who needs to fill out CNG Form 1028?
A: Employers in Texas who wish to self-insure their workers' compensation coverage need to fill out CNG Form 1028.

Q: What is the purpose of CNG Form 1028?
A: The purpose of CNG Form 1028 is to notify the Texas Department of Insurance Division of Workers' Compensation of an employer's election to self-insure.

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Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Railroad Commission of Texas;
  • 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 fillable version of CNG Form 1028 by clicking the link below or browse more documents and templates provided by the Railroad Commission of Texas.

Download CNG Form 1028 Notice of Election to Self-insure - Texas

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  • CNG Form 1028 Notice of Election to Self-insure - Texas, Page 1
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