ACORD 134 FL (2010/01)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 134 FL (2010/01)
Florida Workers Compensation
Joint Underwriting Association,
Inc. Instructions for Completing
ACORD 130 FL & ACORD 133 FL
Title of the form. ACORD 134 FL, Instructions for Completing ACORD 130 FL & 133 FL,
contains the instructions and rules provided by the Florida Workers Compensation Joint
Underwiting Association, relating to applications for workers compensation insurance. All
questions should be referred to the FWCJUA. Contact information is contained within the
form.
ACORD 134 FL (2010/01) rev. 01-29-2010
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