Application and Agreement for Partial Transfer of Experience Rating Record - Louisiana

Application and Agreement for Partial Transfer of Experience Rating Record is a legal document that was released by the Louisiana Workforce Commission - a government authority operating within Louisiana.

FAQ

Q: What is the Application and Agreement for Partial Transfer of Experience Rating Record?
A: The Application and Agreement for Partial Transfer of Experience Rating Record is a document used in Louisiana to transfer a portion of an employer's experience rating record to another employer.

Q: When is this application used?
A: This application is used when a business undergoes a change in ownership or structure and wants to transfer a portion of their experience rating record to the new owner or entity.

Q: What is an experience rating record?
A: An experience rating record is a record of an employer's past workers' compensation insurance claims and premiums paid. It is used to determine the employer's future workers' compensation insurance rates.

Q: Who can submit this application?
A: Either the current employer or the new employer can submit the Application and Agreement for Partial Transfer of Experience Rating Record.

Q: What information is required in the application?
A: The application requires information about the current and new employer, including their legal names, contact information, and Louisiana Workers' Compensation Corporation account numbers.

Q: Are there any fees associated with this application?
A: No, there are no fees associated with submitting the Application and Agreement for Partial Transfer of Experience Rating Record in Louisiana.

Q: How long does the process take?
A: The processing time for this application varies. It is recommended to submit the application at least 60 days before the effective date of the transfer.