Insurance Form 513

General pursuant to section 44 of the longshore and harbor workers compensation act all authorized insurance carriers and self insured employers under the longshore act and extensions including the district of columbia compensation act are required each year to complete and file with the office of workers compensation.

Insurance form 513. Optional time deductible indirect 3 04. Instructions for submitting form ls 513 report of payments for determination of assessment under the longshore and harbor workers compensation act and extensions. Bop extender endorsement 2. Standard form 513 rev.

Gsa 7501 internal control audit tracking system icats access request revised 8 7 2020. Bop extender endorsement 1. As always please feel free to contact the benefit fund office at 314 739 2973. Begin main content area form 509 and form 513.

9 77 prescribed by gsa icmr fpmr 101 11 806 8 513 107. Dli businesses state workers insurance fund swif underwriting forms 509 and 513. 4 98 prescribed by gsa icmr 41 cfr 101 11 203 b 10 register no. To search and order brochures and forms from the edd visit online forms and publications all are available at no cost whether you download or order for delivery by mail.

Application for executive officer s declaration ocr. The documents on this website are pdfs. Please call us at 1 800 772 1213 tty 1 800 325 0778 monday through friday between 8 a m. Many forms must be completed only by a social security representative.

To complete forms you may need to download and save them on the computer then open them with the no cost adobe reader. Causes of loss form. Sf forms list form description. The form you are looking for is not available online.

Disability insurance forms and publications. Standard form 513 rev. Within this website you will now have access 24 hours a day 7 days a week to commonly requested forms useful highlighted links and frequently asked questions regarding your benefit information. Name of insurance company 12 01 a m.

Or contact your local social security office. Gsa 4003 procurement management review pmr small business compliance review sbcr checklist revised 8 18 2020. Executive officer s declaration ocr. Sf 94 statement of witness renewed 9 2 2020.

Gsa 3703 full time telework arrangement analysis tool revised 9 2 2020.