| Section Name | Field Name | Field and/or Section Description |
| ACORD 133 NJ, New JerseyWorkers Compensation Insurance Plan, Application for | ||
| Designation of an Insurance Company, is theapplication for Workers Compensation | ||
| New Jersey Workers | insurance coverage required by the Compensation Rating and Inspection Bureau of New | |
| Compensation Insurance Plan – | Jersey. | |
| TITLE | Application For Designation of an | |
| ACORD 133 NJ (2008/09) | Insurance Company | For instructions on the completion of this form, refer to ACORD 132 NJ. |