Waiver Of Subrogation Form Pdf Details

In the business world, filling out forms is an everyday occurrence. Whether you are submitting a proposal, making a purchase, or requesting information, you will likely need to fill out a form. In this blog post, we will take a look at the WC 00 03 13 form. This form is used for ordering products and services from the government of Quebec. We will discuss the purpose of the form, who can use it, and what information is required. We will also provide tips on how to complete the form correctly.

This page features information about wc 00 03 13. There, you'll discover the information about the form you would like to fill out, which includes the approximate time required to complete it as well as other data.

QuestionAnswer
Form NameWc 00 03 13
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesinsurance form wc000313, work comp waiver of subrogation, waiver of subrogation endorsement pdf form, workers compensation waiver of subrogation endorsement

Form Preview Example

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WC 00 03 13

(Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement

Effective Policy No.

Endorsement No.

Insured

 

Premium

Insurance Company

Countersigned by___________________________________________

WC 00 03 13

(Ed. 4-84)

© 1983 National Council on Compensation Insurance.