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ACORD Form 130 Instructions[removed]xls
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Document Date: 2011-06-23 12:50:29

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File Size: 33,71 KB

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Company

Bill Smith / ABC Contracting Inc. / John Jones / Metal Goods Mfg. / The Green Thumb Co. / Section Description ACORD / XYZ Contracting Inc. / /

Currency

USD / /

Event

Business Partnership / /

IndustryTerm

applicable insurance / transportation / insurance company receiving / Internet Address Mailing Address Years / occupational disease law / foreign product / internet address / compensation law / /

Organization

Internal Revenue Service / Little League / National Council on Compensation Insurance / Sub Chapter / Professional Association / /

Person

Individual / Full Time / John Smith / Mary Smith / /

Position

executive officer / contractor / Company Underwriter / GENERAL INFORMATION GENERAL INFORMATION GENERAL INFORMATION / underwriter / Producer / GENERAL INFORMATION GENERAL INFORMATION GENERAL INFORMATION GENERAL INFORMATION GENERAL INFORMATION / specific company underwriter / /

ProgrammingLanguage

C / /

ProvinceOrState

New Jersey / Minnesota / Pennsylvania / Florida / /

SocialTag