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California Acord 130

Insurance brokers complete the CA Acord 130 when applying for a workers compensation policy. The form includes a repeatable state rating sheet. Learn more.

InsuranceCalifornia Acord 130
California Acord 130InsuranceCalifornia Acord 130
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Edit the JSON below to fill in the California Acord 130 formEdit the JSON below to fill in the California Acord 130 form and download the completed PDF.

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What is the California Acord 130 Form?

​ The CA Acord 130 is used by insurance brokers applying for a workers compensation policy on behalf of their clients. The form includes a repeatable state rating sheet. Information about how to repeat the ratings sheet can be found here. ​

Fill any PDF form with Anvil’s API

​ Anvil’s PDF Fill API and intuitive UI make it easy for teams to templatize any PDF and fill it over API. Quickly build document templates and levarge pre-programmed field types with built-in validation as well as field aliases that allow standardization of field keys across PDFs. Once set up, Anvil provides a unique endpoint and an example payload for testing. ​

Common Acord insurance forms are ready to go

​ We’ve created document templates for the most commonly used Acord forms and attachments in commercial insurance. Use our pre-set field aliases or customize to use your own that match your application schema. Need a form that hasn’t been templatized? Upload it to Anvil to quickly templatize and start filling it out over API. ​ You’re just one quick integration away from completely accurate, automated insurance applications. ​

Try it! Fill out the Acord 130 over API with your own data

​ Need to complete these forms for your clients? Copy this template and start filling out the CA Acord 130 with a single API request. ​

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