WC-400A (8/19) - Insurer's Notice of Issuance of Specific Risk Policy
WC-400A (8/19) - Insurer's Notice of Issuance of Specific Risk Policy
This form is used to report insurance coverage for an employer covered under a specified construction site insurance policy and is not available online. To find out whether you qualify for this form and obtain a copy, contact the Compliance & Employer Records Division at 517-284-8922.
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