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. |