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Employer resources Calculating Premium Reporting Payroll Experience Modifiers Payroll Audits Employment Policies claims Reporting Claims Claims Tips Preventing Fraud Loss Control Site Visits Safety Programs ONLINE FORMS Underwriting Claims Employers News Find an Agent Contact Us >> Home	ACORD CANCELLATION REQUEST/POLICY RELEASE All requests for cancellation must be in writing. A final audit will be conducted of the policyholder's records to ensure the accuracy of premiums paid. The policyholder will be billed for any amounts outstanding and any overpayments will be refunded. ACORD Cancellation Request (PDF)	Employer Downloads First Report of Injury Claims Reporting Guide Second Injury Questionnaire Employment Documents Fraud Guide and Poster Safety Program Components Safety Tips and Checklists OSHA Recordkeeping UNDERWRITING DOWNLOADS Underwriting Guide ACORD Application Ambulance Questionnaire Automobile Questionnaire Contractor Questionnaire Convenience Store Questionnaire Hotel Questionnaire Owner/Officer Exclusion #211 Restaurant Questionnaire Tow Truck Questionnaire Trucking Questionnaire ERM-14 Change in Ownership Policyholder Address Change Cancellation Request You will need to have Adobe Acrobat Reader version 7.0 or higher software to view these .PDF files on your computer. If you do not have the latest Adobe Acrobat Reader, click the icon to visit the Adobe website to download a free copy of Adobe Acrobat Reader.
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