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Form WC 2 Insurance Premium Assessment Workers' Compensation
Percent of all gross direct premiums written during each quarter of the calendar year for workers premiums unabsorbed portions of any deposit premiums policy dividends safety refunds savings and other similar returns paid or credited to policyholders. Such payments to the OTC shall be made not later than the 15th day of the month following the close of each quarter of the calendar year in which such gross direct premium is collected or collectible. Signed By Name and Title Mail your report to...
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