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NJCRIB NJ W.C. Insurance Plan Data Searches Document Library Aggregate Financial Reporting Other Home
 
 
 

Aggregate Data Reporting Forms
   Call #1Q - Total Experience

   Call #1W - Total Experience

   Call #2Q - Workers Compensation Insurance Plan

   Call #2W - Workers Compensation Insurance Plan

   Call #3W - Premium Adjustment Supplement

   Call #4Q - Large Risk - Large Deductible

   Call #4W - Large Risk - Large Deductible

   Call #6 - Household Employee Coverage

   Call #7 - Mid-Year Report of Premiums
 
 
 
 
 
 
 
 
 
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