Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 133 FL (2011/01)
Florida Workers Compensation
Joint Underwriting Association
Inc., Addendum to ACORD 130 FL
ACORD 133 FL, Florida Workers Compensation Joint Underwriting
Association, Inc. Addendum to ACORD 130 FL, is required, together with Florida Workers
Compensation Application, ACORD 130 FL, when applying to the Florida Workers
Compensation Joint Underwriting Association for workers compensation insurance. See
ACORD 134 FL, FWCJUA Instructions for the Completion of ACORD 130 FL and 133 FL,
for further information.
ACORD 133 FL (2011/01) rev. 1-31-2011
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