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REGULATORY LINKS / FORMS

GENERAL FORMS

GENERAL LINKS

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

STATE SPECIFIC FORMS & RELATED LINKS

Alabama | Florida | Georgia | Kentucky | Mississippi | North Carolina | South Carolina | Tennessee

Alabama

Employers Notice to Exclude or Include Coverage for Himself, Officers or Members
Alabama Application for Certification of Drug-Free Workplace Premium Credit
Alabama Application for Re-Certification of Drug-Free Workplace Premium Credit

Alabama Department of Industrial Relations/WC
http://www.dir.alabama.gov

Alabama Department of Insurance
http://www.aldoi.gov

State of Alabama
http://www.alabama.gov

Florida

Notice of Election to be Exempt
Instructions for Completing Notice of Election to be Exempt
Notice of Revocation of Election to be Exempt
Notice of Election of Coverage
Revocation of Election of Coverage
Florida Application for Drug-Free Workplace Premium Credit
Florida Certification of Employer Workplace Safety Program Premium Credit

Fraud
http://www.fldfs.com/fraud

Florida Department of Financial Services
http://www.fldfs.com

Florida Department of State
http://www.sunbiz.org

Official Portal of the State of Florida
http://www.myflorida.com

Florida Government
http://www.leg.state.fl.us

Georgia

Georgia State Board of Workers' Compensation Notice of Election or Rejection of Workers' Compensation Coverage
Georgia Application for Certification or Annual Recertification of Drug-Free Workplace Premium Credit

Georgia Insurance and Safety Fire Commissioner
http://www.inscomm.state.ga.us

Georgia Department of Insurance
http://www.gainsurance.org

Georgia State Board of Workers’ Compensation
http://www.sbwc.georgia.gov/

State of Georgia Secretary of State
http://www.sos.georgia.gov

Georgia Government
http://www.georgia.gov

Georgia Producer Appointment Form
http://www.gainsurance.org/Agents/Forms-Agents.aspx

Kentucky

Kentucky Employee's Notice of Rejection of Workers' Compensation Act
Kentucky Application for Certification of Drug-Free Workplace Program

Kentucky Department of Labor/Office of Workers' Claims
http://www.labor.ky.gov

Kentucky Office of Insurance
http://doi.ppr.ky.gov/Kentucky/

Kentucky Secretary of State
http://www.sos.ky.gov

Mississippi

Notice of Election or Rejection of Workers' Compensation for the State of Mississippi
Mississippi Application for Drug-Free Workplace Premium Credit

Mississippi Workers’ Compensation Commission
http://www.mwcc.state.ms.us

Mississippi Department of Insurance
http://www.mid.state.ms.us

Mississippi Secretary of State
http://www.sos.state.ms.us

North Carolina

North Carolina Department of Insurance
http://www.ncdoi.com/

North Carolina Rate Bureau
http://www.ncrb.org/ncrb/

North Carolina Department of the Secretary of State
http://www.sosnc.com/

North Carolina Industrial Commission
http://www.ic.nc.gov/

South Carolina

South Carolina Corporate Officer Notice to Reject
South Carolina Application for Drug-and Alcohol-Free Workplace Premium Credit

South Carolina Workers' Compensation Commission
http://wcc.sc.gov/Welcome+and+Overview/Workers+Comp+SC/

South Carolina Secretary of State
http://www.scsos.com

Other Forms
http://www.wcc.state.sc.us/Welcome+and+Overview/Forms/

South Carolina Department of Insurance
http://www.doi.sc.gov/

Tennessee

Notice of Corporate Officer to Employer of Election Not to Accept Provisions Of "Workers' Compensation Act" of Tennessee
Tennessee Application for Drug-Free Workplace Premium Credit

Tennessee Department of State
http://www.state.tn.us/sos/

Tennessee Department of Labor & Workforce Development
http://www.state.tn.us/labor-wfd/wcomp.html

Tennessee Department of Commerce and Insurance
http://www.state.tn.us/commerce/

 

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