account info 4-12-06 001 Verify Workers' Comp Premium Status - Account Information Page 1 of 1
Verify Workers' Comp Premium Status: Account Information
Did you know...
...that under Washington State law', you may be liable for the unpaid workers' compensation
(industrial Insurance) premiums of any business you hire or contract with? ('See R(W. 51,12.070)
L&I will track a contractor for you and tell you if their status changes.
If this is a contractor whose premiums and license are current, a "Submit Contractor Tracking
Request" link will appear in the certificate below. Click it to fill out a Tracking Request. If the
contractor fails to pay workers' comp premiums or renew their contractor registration or if their
electrical contractor license is suspended or revoked within one year of the start-date on your
tracking request, L&I will send you a notification letter.
Department of Labor and Industries
Employer Liability Certificate
Date: 04/12/2006
JBl 4: 601 287 180
Business Name: A M JAMES COMPANY INC
Legal Business Name: A M JAMES COMPANY INC
Account 4: 902,195-01
'Doing Business As Name: A M JAMES COMPANY INC
Quarterly Premium Reports: Quarter 4 of Year 2005
Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid
their premiums.
Licensed Contractor? Yes Get contractor's license history.
Submit Contractor Tracking-Request here to be notified
if this contractor's premium or license. status. changes
during the next year..
Risk Classification: Get risk classification. information.
Experience Factor: Get experience factor history.
Account Representative: TW / KARLA BOWMAN (360)9025535 - E-mail:
BOWK235@lni.wa.gov
Account Premium: Get account premium information.
Industrial Insurance Information
The information above shows the employer's industrial insurance (workers' compensation) premium
status with the Department of Labor and Industries.
Employers report and pay premiums each quarter based on hours of employee work already
performed, and are liable for premiums found later to be due. Industrial insurance accounts have no
policy periods, cancellation dates or limitations of coverage. (See RCW 51..12.050 and 51.16.190.)
About L&I I Find a iob at L&I I Informanon en espanol I Site Feedback 11-800-547-
8367
P-"r^""'m.~~ n ii s o u i., a in I u rn1. n ,Ew, a
~ntru r, s i. orb -k
httDS://secureaccess.wa.2ov/lni/crosi/Acctlnfo.asnx9Accountld 9020/.2cl95-01&Rimmce sl 4/1119n0C