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WC Notice of Coverage Form WC 8

wc_notice_of_coverage.pdf

Form Instructions

INSTRUCTIONS: ALABAMA NOTICE OF COVERAGE (WC Form 8)

To provide notification to the state of Alabama of workers compensation coverage being provided by your business, you should file a form WC 8. This document can be found on the website maintained by the Alabama Department of Labor.

Alabama Notice Of Coverage WC 8 Step 1: On the first line, enter your state unemployment compensation tax number.

Alabama Notice Of Coverage WC 8 Step 2: On the second line, enter your federal identification number.

Alabama Notice Of Coverage WC 8 Step 3: On the third line, enter the name of your limited liability company or corporation.

Alabama Notice Of Coverage WC 8 Step 4: On the fourth line, enter the trade name ("doing business as") of your corporation or limited liability company.

Alabama Notice Of Coverage WC 8 Step 5: On the fifth line, enter your primary business address.

Alabama Notice Of Coverage WC 8 Step 6: On the sixth line, enter all other locations which you are covering.

Alabama Notice Of Coverage WC 8 Step 7: On the seventh line, provide a brief description of the nature of your business operations.

Alabama Notice Of Coverage WC 8 Step 8: On the eighth line, enter your North American Industry Classification System (NAICS) number. If you do not know what your NAICS number is, a complete list is available on the website of the Alabama Department of Labor.

Alabama Notice Of Coverage WC 8 Step 9: On the ninth line, enter the date on which the policy will take effect.

Alabama Notice Of Coverage WC 8 Step 10: On the tenth line, enter the expiration date of this policy.

Alabama Notice Of Coverage WC 8 Step 11: On the eleventh line, enter your policy number.

Alabama Notice Of Coverage WC 8 Step 12: On the twelfth line, enter the name of the insurance carrier.

Alabama Notice Of Coverage WC 8 Step 13: On the thirteenth line, enter your NCCI code.

Alabama Notice Of Coverage WC 8 Step 14: File the form by mailing it to the address given at the top of the form.

Alabama Notice Of Coverage WC 8 Step 15: If you decide to cancel this coverage at a later date, you will need to notify the Alabama Department of Labor by filing a form WC 9.

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