Looking for information about PROPRIETOR/PARTNER/CORPORATE OFFICER FORM? Follow the links below to find all the information you are interested in. Addresses, telephones, emails, working hours and other useful information.


Proprietor Partner CorporateOfficer Form

    https://www.dvins.com/download%20files/Proprietor_Partner_CorporateOfficer_Form.pdf
    Proprietor/Partner/Corporate Officer Form (If not established on DE-9c) To establish the relationship between proprietors, partners, and/or corporate officers to the below referenced company, please complete and return this form. I attest that, although my name does not appear on the DE 9c wage report of the below-named

PARTNER’S, SOLE PROPRIETOR’S OR CORPORATE OFFICER’S …

    https://www.floir.com/siteDocuments/OIR-B1-1562.DOC
    Partner’s, Sole Proprietor’s or Corporate Officer’s Printed Name Title Signature (Attach copy of proof of identification) Date Office of Insurance Regulation Property & Casualty Forms and Rates. OIR-B1-1562. REV. 07/2003Author: Theasa Eaton

Sole Proprietor Partner or Corporate Officer ... - AZBlue

    https://www.azblue.com/~/media/azblue/files/employers/resources/new-group-enrollment-tools/sole-proprietor-partner-or-corporate-officer-statement.pdf
    SOLE PROPRIETOR, PARTNER, L.L.C. MEMBER OR CORPORATE OFFICER STATEMENT Small Group requirements for proof of eligibility when no quarterly tax and wage report is available or if not listed on the quarterly tax and wage report:

CORPORATE OFFICERS, MEMBERS, MANAGERS, PARTNERS, …

    http://www.sls-ins.com/wp-content/uploads/2017/12/Officer-Election-Rejection-Form.pdf
    Depending on your respective State Insurance or Labor Code, an Officer, Partner, Member, Manager, Sole Proprietor or Otherindividual may be required or permitted to eitherELECTorREJECTworkers compensation coverage. This form providesdocumentation of your decision as your state has not promulgated a form for this purpose. The coverage selection indicated belowshall apply to all …

OFFICE OF INSURANCE REGULATION Property & Casualty …

    https://www.floir.com/siteDocuments/OIR-B1-1562.pdf
    Property & Casualty Forms and Rates OIR-B1-1562 REV. 07/2003 PARTNER’S, SOLE PROPRIETOR’S OR CORPORATE OFFICER’S STATEMENT Name of Insurance Carrier: Name of Individual or Business Conducting the Audit: (If other than an employee of the Insurance Company) Name of Insured: Policy Number: Policy Period From: to

Business License Application - Wa

    https://dor.wa.gov/sites/default/files/legacy/Docs/forms/BLS/700028.pdf
    6 Signature (Signature of Sole Proprietor or spouse, partner, corporate ocer, or LLC member/manager)I, the undersigned, declare under the penalties of perjury and/or the revocation of any license granted, that I am the applicant or authorized representative of the firm making this application and that the answers contained, including any accompanying information, have been examined by me and that the matters …

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