ACORD 130 Workers Compensation Application Remarks Section

How to Complete the Remarks Section of the Workers Compensation Application

The Remarks Section is a free form place to enter all the additional information you did not have room to enter anywhere else in this application.

Several items on the first page specifically mention using the Remarks Section.

Under Policy Information it tells you to specify additional coverage or endorsements in Remarks.

While Locations does not mention it, if you have more than 3 locations, this is the place to list those additional locations.

The Individuals Included / Excluded mentions using the Remarks section if you have more than 4 people to list.

I have also seen it used for things that are not asked at all. Such as the fact that the insured is the brother-in-law of the agent. Who knew?

You may need even more room than the Remarks section provides. When that is the case, use the ACORD 101 Additional Remarks Schedule.

I hope this helps you learn how to complete the ACORD 130 workers compensation application remarks section.

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