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What information is needed to submit a temporary employment agency or employee leasing company to Beacon?

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What information is needed to submit a temporary employment agency or employee leasing company to Beacon?

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• Fully completed and signed Workers Compensation Acord 130 application • Fully completed and signed Beacon Supplemental Application for Temporary Employment Agencies/Employee Leasing Companies (Please refer to the ‘Forms’ section of our website) • Full names and physical addresses of all Rhode Island client companies that the temporary employment agency/leasing company does business with • A copy of the executed contract between the temp agency/leasing company and each Rhode Island client company • Most recent experience modification worksheet • Recently valued, hard copy prior carrier loss runs for the past four years • Proof of coverage for all other states in which the temporary employment agency or employee leasing company may place employees

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