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NJ W.C. Insurance Plan
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DOCUMENTS/FORMS
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Invitation Letter & Pre-Registration Form
NJ EDI Agenda
Trading Partner Agreement & Trading Partner Profile
Petition for Variance or Extension
FROI Form IA-1 (Workers Compensation - First Report of Injury or Illness)
NJ Benefit Letter - Medical Only
Revised 10/07/2004
NJ Benefit Letter - Indemnity
Revised 10/07/2004
NJ Benefit Letter Usage Directions
Revised 10/07/2004