Workers Compensation Endorsement to Guaranty Contract - Oregon 2026

1. Click ‘Get Form’ to open the Workers Compensation Endorsement to Guaranty Contract - Oregon in our editor.
2. Begin by entering the name of the insurer and the address where policy or coverage information is available. This ensures that all parties are correctly identified.
3. Fill in the date of issue and policy number, along with the FEIN and BIN or WCD number. These details are crucial for tracking and referencing your coverage.
4. Input the employer’s current legal name. If there has been a change, provide the former legal name and effective date of change.
5. List any partners who have been added or deleted from the partnership, ensuring accurate representation of all involved parties.
6. Update any changes to the principal mailing address and principal place of business address as necessary.
7. Indicate any assumed business names that have been added or deleted, which helps maintain clarity in business operations.
8. Select 'Yes' or 'No' for non-subject worker election of coverage, and note any other changes that may apply.
9. Finally, ensure that an insurer representative signs and dates the document, including their contact name and phone number for follow-up.

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