Regulatory Links / Forms

Forms:

• ACORD 130
• ACORD 130 FL
• Credit Card Authorization
• Employee List
• NCCI ERM-14 Form
• NCCI ERM-6 Form
• NCCI ERM-6 Instructions
• Waiver of Subrogation UW Criteria

Related links:

Alabama

1. Alabama Department of Industrial Relations/WC: www.dir.alabama.gov
2. Alabama Department of Insurance: www.aldoi.gov
3. State of Alabama: www.alabama.gov

Florida

1. Florida Department of Financial Services: www.fldfs.com
2. Florida Department of State : www.sunbiz.org
3. Official Portal of the State of Florida: www.myflorida.com
4. Florida Government: www.leg.state.fl.us

Georgia

1. Georgia Insurance and Safety Fire Commissioner: www.inscomm.state.ga.us
2. Georgia State Board of Workers’ Compensation: sbwc.georgia.gov
3. State of Georgia Secretary of State: sos.georgia.gov
4. Georgia Government: georgia.gov
5. Georgia Producer Appointment Form: www.gainsurance.org/Documents/GID-122A-122T.pdf

Kentucky

1. Kentucky Department of Labor/Office of Workers Claims: www.labor.ky.gov
2. Kentucky Office of Insurance: www.doi.ppr.ky.gov
3. Kentucky Secretary of State: www.sos.ky.gov

Mississippi

1. Mississippi Workers’ Compensation Commission: www.mwcc.state.ms.us
2. Mississippi Department of Insurance: www.doi.state.ms.us
3. Mississippi Secretary of State: www.sos.state.ms.us

South Carolina

1. South Carolina Workers' Compensation Commission: http://www.wcc.state.sc.us/
2. South Carolina Department of Insurance: http://www.doi.sc.gov/

Tennessee

1. Tennessee Department of Labor & Workforce Development: http://www.state.tn.us/labor-wfd/wcomp.html
2. Tennessee Department of Commerce and Insurance: http://www.state.tn.us/commerce/

General

1. U.S. Department of Labor: www.dol.gov
2. Occupational Safety & Health Admin. (OSHA) www.osha.gov
3. ACORD : www.ACORD.com
4. NCCI: www.ncci.com