Ocip enrollment form 2026

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  1. Click ‘Get Form’ to open the OCIP Enrollment Form in the editor.
  2. Begin by filling out the Contractor Information section. Enter your Contractor Name, Street Address, City, State Zip, Office Contact, Project Contact, FEIN, and Phone numbers as required.
  3. Next, move to the Current Insurance Information section. Provide details for your Contractor’s Agent/Broker including their Phone number and Email address.
  4. In the Contract Information section, input details such as Awarding Contractor, Project Name or Number, Estimated Completion Date, Start Date, Contract Value, Estimated W2 Payroll, and Average Number of Men on Site.
  5. Proceed to the Contractor Insurance Cost Calculation area. Fill in Workers’ Compensation details including WC Classification and WC Code along with rates and premiums.
  6. Complete any additional charges or credits in the Additional Charges section before summarizing your total insurance costs at the end of the form.
  7. Finally, review all entries for accuracy and sign at the bottom before submitting your completed form to NJSDA via fax or mail.

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