Accident Fund Workers' Compensation

Name *

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Industry *

Which option best describes your industry?Accommodation and Food ServicesAdministrative and Support and Waste Management and Remediation ServicesAgriculture, Forestry, Fishing and HuntingArts, Entertainment, and RecreationConstructionEducational ServicesFinance and InsuranceHealth Care and Social AssistanceInformationManagement of Companies and EnterprisesManufacturingMining, Quarrying, and Oil and Gas ExtractionOther Services (except Public Administration)Professional, Scientific, and Technical ServicesPublic AdministrationReal Estate and Rental and LeasingRetail TradeTransportation and WarehousingUtilitiesWholesale Trade

Number of Employees *

How many people does your business employ?< 2526 - 5051 - 99100 - 499500 - 9991000 - 24992500 - 49995000 +Doesn't apply. Not a business.

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Accident Fund Workers’ Compensation

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