WCC Form H13R Insurer Request for Change of Address - Maryland

WCC Form H13R Insurer Request for Change of Address - Maryland

What Is WCC Form H13R?

This is a legal form that was released by the Maryland Workers' Compensation Commission - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a WCC Form H13R?
A: WCC Form H13R is a form used to request a change of address for an insurer in Maryland.

Q: Who can use the WCC Form H13R?
A: Insurers in Maryland can use the WCC Form H13R to request a change of address.

Q: What is the purpose of the WCC Form H13R?
A: The purpose of the WCC Form H13R is to notify the Workers' Compensation Commission in Maryland of a change in address for an insurer.

Q: Are there any fees associated with submitting the WCC Form H13R?
A: No, there are no fees associated with submitting the WCC Form H13R.

Q: What information is required on the WCC Form H13R?
A: The WCC Form H13R requires information such as the insurer's name, old address, new address, and contact information.

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Form Details:

  • Released on September 12, 2008;
  • The latest edition provided by the Maryland Workers' Compensation Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of WCC Form H13R by clicking the link below or browse more documents and templates provided by the Maryland Workers' Compensation Commission.

Download WCC Form H13R Insurer Request for Change of Address - Maryland

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  • WCC Form H13R Insurer Request for Change of Address - Maryland, Page 1
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