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At Workers' Compensation Shop.com we attempt to offer free access to Delaware's workers' compensation forms, applications and guides. We strive to keep our library up to date with the latest versions of every form you may need.
As with all information we provide, please verify the accuracy of this information with the Delaware Office of Workers' Compensation
If you have questions about a workers' comp form, feel free to contact a specialist at 888-611-7467. We want to be your source for workers' compensation information, rates and quotes in Delaware.
DE Acord 130 Workers' Compensation Application
The standard Acord 130 application form for workers' comp coverage in Delaware.
Delaware First Report of Injury Form
First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.
Delaware Application for Exclusion of Officers
Officers of corporations should complete this form to exclude themselves from a work comp policy.
Delaware Application for Exclusion/Election of Officers
Officers of corporations should complete this form to elect/exclude themselves from a work comp policy.
State of Delaware Office of Workers' Compensation Agreement as to Compensation
Complete this form when parties involved have reached a settlement agreement to record the details of the compensation.
Delaware Application for Exemption for Workers' Compensation Insurance
The use of this form is required by the Delaware Workers' Compensation Statute to report all information specific to a specific workers' compensation injury.
Facts About Workers' Compensation in Delaware
Delaware workers' compensation manual for rules, classifications and rating values for workers' compensation and for employers liability insurance.
Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers' compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.
A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.
A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.
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State Resources for Delaware
Delaware Office of Workers' Compensation
State Office Building, Sixth Floor820 North French StreetWilmington, Delaware 19801302-761-8001 http://dia.delawareworks.com/
Delaware Office of Insurance Commissioner
841 Silver Lake Blvd., Rodney BuildingDover, DE 19904302-739-4251 www.delawareinsurance.gov/
Workers' compensation insurance is required by law for Delaware employers.
Delaware forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers' compensation form your need for Delaware.
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