Notice Of Coverage {WC 8} | Pdf Fpdf Doc Docx | Alabama

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Notice Of Coverage {WC 8} | Pdf Fpdf Doc Docx | Alabama

Notice Of Coverage {WC 8}

This is a Alabama form that can be used for Workers Compensation.

Alternate TextLast updated: 4/13/2015

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WC FORM 8 Rev 10/2012 NOTICE OF COVERAGE TO THE DEPARTMENT OF LABOR DIVISION 649 MONROE STREET SUITE 3816 MONTGOMERY, AL 36131 STATE UNEMPLOYMENT COMPENSATION TAX NUMBER_________________________ FEDERAL ID NUMBER__________________________________________________________ CORPORATION/LLC____________________________________________________________ DOING BUSINESS AS___________________________________________________________ ADDRESS______________________________________________________________________ ADDITIONAL LOCATIONS COVERED____________________________________________ NATURE OF BUSINESS_______________________________NAICS____________________ EFFECTIVE DATE OF POLICY__________________EXPIRATION DATE_______________ POLICY NUMBER______________________________________________________________ INSURANCE CARRIER_________________________________________________________ NCCI CODE___________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com

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