1641. RSA 100-C Change of Beneficiary Form - Prior to Retirement - Alabama
INSTRUCTIONS: ALABAMA CHANGE OF BENEFICIARY FORM PRIOR TO RETIREMENT (Form RSA 100-C) Prior to your retirement, if you wish to change the beneficiaries who will receive the accumulated credits from your contributions to your Alabam ...
1642. Request to Fax Account Information - Alabama
INSTRUCTIONS: ALABAMA REQUEST TO FAX ACCOUNT INFORMATION Members enrolled in Alabama government retirement systems may request that certain information about their account be faxed to them. This is done using the f ...
1643. Address Change Notification - Alabama
INSTRUCTIONS: ALABAMA ADDRESS CHANGE NOTIFICATION Retired members enrolled with Alabama retirement systems must notify the agency if they change their home address. The form discussed in this article used to make t ...
1644. Form 100, Enrollment Form: Member Information Record - Alabama
INSTRUCTIONS: ALABAMA ERS ENROLLMENT MEMBER INFORMATION RECORD (Form ERS 100) To enroll in the Employees' Retirement System of Alabama, you should file a form ERS 100. This document can be obtained on the website of ...
1645. WC Supplementary Report WC Form 3 - Alabama
INSTRUCTIONS: ALABAMA SUPPLEMENTARY REPORT (WC Form 3) Alabama employers are required to file a WC Form 3 whenever payment is made to a worker injured on the job. This document can be found on the website of the Alabama ...
1646. WC Notice of Coverage Form WC 8 - Alabama
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 fou ...
1647. WC Notice of Cancellation Form WC - Alabama
INSTRUCTIONS: ALABAMA NOTICE OF CANCELLATION (WC Form 9) Alabama businesses which are cancelling their workers compensation account should file a WC Form 9. This document can be obtained from the website of the Alabama D ...
1648. WC Combination Supplementary and Claim Summary Form - Alabama
INSTRUCTIONS: ALABAMA COMBINATION SUPPLEMENTARY & CLAIM SUMMARY FORM When an Alabama company pays workers compensation to an employee injured or involved in an accident on the job, they can file a combination s ...
1649. WC Claim Summary Forms WC 4 - Alabama
INSTRUCTIONS: ALABAMA CLAIMS SUMMARY FORM (Form WC 4) When an Alabama employee is injured on the job, their employer is required to provide workers compensation coverage for treatment. The insurance company is required to submit a ...
1650. WC Assessment Form WCC10 - Alabama
INSTRUCTIONS: ALABAMA ASSESSMENT REPORT FOR INSURANCE COMPANIES, SELF-INSURERS AND GROUP FUNDS (WCC Form 10) Alabama insurance companies, group funds and self-insured businesses must file a WCC Form 10 on an annual basis ...