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Here is a list of all the forms, applications, and manuals related to Workers' Compensation Insurance in the state of Maryland. We strive to keep this up to date.
As with all the information we provide about state workers comp rules please verify the accuracy of this information with the Iowa Department of Workers Compensation.
If you have any questions about where to find or how to fill out any form, please feel free to call one of our Workers' Compensation Experts at 888-611-7467.
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MD Acord 130 Workers Compensation Application
The standard Acord 130 application form for workers comp coverage in Maryland.
Instructions for Maryland's Online Claim Submissions Site
First Report of Injury Instructions. Employers should review these instructions to learn how to file an online claim.
Maryland Online Submission Site
Maryland Application for filing an online workers' compensation claim.
Maryland Application for Exclusion of Officers and Stockholders
Maryland Application for Exclusion of Sole Proprietors and Partners
Sole Proprietors and Partners should complete this form to exclude themselves from a work comp policy.
Maryland Dependents Claim for Death Benefits
Complete this form if you are a dependent the needs to file a claim for death benefits.
Instructions for Filling Out Forms
Detailed instructions for filling out forms properly to avoid rejection.
MD Request for Change of Address
Complete this form to request for a change of address.
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 Maryland
Maryland Workers' Compensation Commission
10 East Baltimore StreetBaltimore, MD 21202-1641800-492-0479 Maryland Work Comp Commission
Maryland Injured Workers' Insurance Fund
8722 Loch Raven BlvdTowson, MD 21286 - 22351-800-264-IWIF Maryland Injured Workers' Insurance Fund
Workers compensation insurance is required by law for Maryland employers.
Maryland 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 Maryland.
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