Form Field Map: Workers Compensation Rating Information

 

This is one of several forms comprising the Workers Compensation policy. See Form Field Map: Workers Compensation for information about additional forms.

The ACORD 130 form accommodates only the first four employee categories entered into the Classification/Rating Information section of AMS360. Any additional entries overflow to the Workers Compensation Rating Information overflow form.

You can refer to the following sample of the Rating Information form to determine the corresponding AMS360 fields.

Alternatively, you may refer to an image from the AMS360 user interface to determine which fields on the overflow form correspond to the depicted fields from AMS360.

 

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