Specialty classes
Hedge Workers Compensation Supplemental
A fillable Hedge supplemental for workers compensation exposure review.
View form and fillable PDF →Commercial insurance form reference
ACORD 130: Workers Compensation Application.
Direct answer. The workers compensation application used to organize entities, locations, states, class codes, payroll, officer treatment, prior coverage, and experience information for workers compensation review.
Information organized
Facts to prepare.
- Payroll by state and class code
- Employee duties and headcount
- Experience modification information
- Officer inclusion or exclusion
- Prior coverage and currently valued losses
Quality control
Review before using the form.
- Confirm class codes reflect actual employee duties
- Reconcile payroll totals across entities and locations
- Explain lapses, new ventures, material losses, and subcontractor use
Edition and market boundary
The edition shown is the edition observed in the official index on the review date. Confirm the acceptable edition, jurisdiction, and related forms with the intended market. Hedge does not provide this ACORD file for download.
Related Hedge forms
Hedge-owned supplements that may add class detail.
These fillable Hedge resources can support preparation but do not replace a required ACORD or market-specific application.
Any risk
Hedge Loss and Claims Supplement
A fillable Hedge supplement for organizing prior losses, claims, and open-claim detail for wholesale review.
View form and fillable PDF →Sources
Verify against the publisher.
Official source
ACORD Forms Index
Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.
Open official source →Official source
ACORD Forms Portal
Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.
Open official source →Official source
ACORD Forms Search Tools
Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.
Open official source →Next step
Assemble the account-specific packet.
Use the class submission guide to identify the underwriting facts and Hedge forms that may apply, then have Hedge confirm the intended market and route.