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. |