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FWCJUA Operations Manual

FWCJUA Application Package  http  Adobe PDF (updated 2010/01)
ACORD 130 FL (2002/07)
ACORD 133 FL (2010/01)
Employment and Wage Information Release Agreement (2007/06)
ACORD 134 FL (2010/01) - Instructions

Supplemental Applications:

Employee Leasing/PEO Package  http  Adobe PDF (updated 2010/01)
FWCJUA Supplemental Employee Leasing Application
Acknowledgement by Labor Contractor and Client of Terms and Conditions of the
   Multiple Coordinated Policy
Acknowledgement by Client of the Terms and Conditions of Continued Coverage under
   the Multiple Coordinated Policy
Employee Leasing Consent To The Release Of Client Initiation Or Termination Information
Construction Industry Package  http  Adobe PDF (updated 2008/08)
Contractors Supplemental Application
"If Any" Acknowledgement Form


All Forms and Applications:

 
HTTPTitle
HTTPFWCJUA Application Package
HTTPPayroll Service Application
HTTPAgency Agreement Addendum to Exhibit A
HTTPAgency Producer Agreement (2009/11)
HTTPSafety Program Premium Credit Application
HTTPDrug Free Premium Credit Application
HTTP$2500 Deductible Application
HTTPAcknowledgement of FWCJUA Premium Payment Options (2008/06) (effective 9/1/08)
HTTPTruckers Supplemental Application (2008/06) (effective 9/1/08)
HTTPHorse Trainer's Supplemental Application
HTTPConstruction Package
HTTPQuarterly Payroll Self Audit (2008/07)
HTTPEmployers Affidavit (2008/06) (effective 9/1/08)
HTTP'If Any' Acknowledgement Form (2007/06)
HTTPContractors Supplemental Application (2008/06) (effective 9/1/08)
HTTPSupplemental Employee Leasing Application
HTTPEmployee Leasing / PEO Package
HTTPEmployee Leasing Consent To The Release Of Client Initiation Or Termination Information (2007/06)
HTTPAcknowledgement by Client MCP (2007/06)
HTTPAcknowledgement by Labor Contractor MCP (2007/06)
HTTPACORD 175FL (3/97)
HTTPApplicants Affidavit (2007/06)
HTTPApplicant’s Affidavit As To Employee Leasing (2007/06)
HTTPEmployment & Wage Information Release Agreement
HTTPERM-14
HTTPACORD 134FL (2010/01)
HTTPACORD 133FL (2010/01)
HTTPACORD 130FL (2002/07)
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