Record of Compensation Insurance (Intergovernmental Risk Management Pool) Forms
| Form Name | Record of Compensation Insurance (Intergovernmental Risk Management Pool) |
| Form # | NWCC Form 12P |
| Form Revision | (Rev. 11/06) |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Nebraska |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |
