Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 135 NC (2012/10)
North Carolina Workers
Compensation Insurance Plan,
Application for Designation of an
Insurance Company
ACORD 135 NC, North Carolina Workers Compensation Insurance
Plan, Application for Designation of an Insurance Company, is the application for workers
compensation insurance coverage required by the North Carolina Workers Compensation
Insurance Plan. See ACORD 136 NC for instructions on the completion of this application.
ACORD 135 NC (2012/10) rev. 09-28-2012
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