Workers' compensation resource
What is an Acord 130?
The short answer
An Acord 130 is the standard workers' compensation application commonly used to collect applicant, operations, payroll, classification, prior-carrier, and coverage-request information. It is part of a submission, not a quote or proof of coverage.
Use this in practice
- Use the current form available to you and complete known facts honestly.
- An online intake can capture equivalent facts when the PDF is unavailable.
- Supplemental questions may still be needed for the industry or program.
What it means for you
Employer: Your agent may prepare it; verify the business facts before submission.
Retailer: Upload it when ready or enter equivalent facts online to start review.
Wholesaler: Preserve the retail source and attach the form to the same opportunity.