Form library / Workers compensation
WC 00 03 01 A
Alternate Employer Endorsement
Edition in catalog: 01 15 · endorsement
What this number is
WC 00 03 01 A (Alternate Employer Endorsement) is an endorsement used on workers compensation policies. Edition 01/15 is the version in Coverbird’s reference catalog; your policy may list a different edition of the same number.
What it changes on a policy
WC 00 03 01 A (Alternate Employer Endorsement) amends the workers compensation coverage form. Check the schedule so you know whether it is optional, mandatory, or attached only for a listed project or location.
What it does not do
This page is a general explanation of the form number, not advice about your account. Coverbird does not sell insurance or say whether a limit or endorsement is enough for a contract.
Where it shows up
On the forms-and-endorsements list that follows the workers compensation declarations. Search the PDF for “WC 00 03 01 A” if the schedule is dense.
What to look for
- Form number WC 00 03 01 A and edition 01 15 on the schedule
- Workers compensation declarations sitting in front of this form
- Neighboring endorsements on the same line, which often change the same coverage
Coverbird reads the declarations and form schedule on the PDF you already have. It does not sell insurance or say whether a limit is enough.
Upload a policy to find this on yoursRelated glossary
- Declarations page
The front pages that list who is insured, what is covered, the term, premium, and limits.
Related forms
- WC 00 03 13 — Waiver of Our Right to Recover from Others Endorsement
- CG 21 39 — Contractual Liability Limitation
- CG 21 44 — Limitation of Coverage to Designated Premises or Project
- CG 21 70 — Cap on Losses from Certified Acts of Terrorism
- CG 24 04 — Waiver of Transfer of Rights of Recovery Against Others to Us
- CG 24 26 — Amendment of Insured Contract Definition