Extract data from ACORD 130 (2017/05) - Workers Compensation Application. Get data in JSON format to autofill another form, store in a database or convert to AL3 using WinsurTech solutions.
The ACORD 130 (2017/05) form, known as the Workers Compensation Application, is used by businesses to apply for workers’ compensation insurance. This form gathers detailed information on the business, including operations, payroll, employee classifications, and loss history, to help insurers assess the potential risks and determine appropriate premium rates. Workers' compensation coverage protects both employees and employers in the event of work-related injuries or illnesses, offering benefits for medical expenses and lost wages while mitigating liability for the employer.