Workers’ Compensation & Liability Insurance Notice Form (QTY 50)

Clearly communicate insurance disclosure information with this Workers’ Compensation & Commercial General Liability Notice Form. Designed for contractors and service professionals, this easy-to-use form helps document workers’ compensation and liability insurance status in a clean, professional format.

This form includes sections for contractor business information, workers’ compensation disclosures, commercial general liability insurance details, insurance company information, and contact numbers. The straightforward checkbox layout makes it quick and easy to complete while helping contractors maintain organized project records.

Printed as a 2-part carbonless form, it instantly creates duplicate copies for both contractor and customer records, making it ideal for home improvement contractors, service professionals, and construction businesses.

Features:

• Easy-to-complete checkbox format
• Includes space for:
  • Contractor business information
  • Workers’ compensation insurance disclosures
  • Commercial general liability insurance details
  • Insurance company information
  • Contact phone numbers

Specifications:

• Size: 8.5” x 11”
• Format: 2-Part Carbonless (White & Yellow)
• Pages: 1
• Copies: White – Office Copy / Yellow – Customer Copy
• Use: Insurance Disclosure Notices