ACORD 133NJ Instructions

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.