ACORD 135NC Instructions


Section Name Field Name Field and/or Section Description
The title of the form. ACORD 135 NC, North Carolina Workers Compensation Insurance
North Carolina Workers Plan, Application for Designation of an Insurance Company, is the application for workers
CompensationInsurance Plan, compensation insurance coverage required by the North Carolina Workers Compensation
TITLE Application for Designation of an Insurance Plan. See ACORD 136 NC for instructions on the completion of this
ACORD 135 NC (2009/08) Insurance Company application.