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Verification of cover

Statement of coverage

This statement confirms the following employer has a workers insurance policy with icare NSW, which covers the full amount of the employer's liability under the Workers Compensation Act 1987 (NSW).

The information provided in this Verification of Cover is correct as at:

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Employer's information

Employer name

Trading Name

ABN

ACN

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Important information

For more detailed information please refer to the employer’s Certificate of Currency or have the authorised person contact icare on 13 44 22 or wisupport@icare.nsw.gov.au.

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For assistance, please contact icare on 13 44 22 or wisupport@icare.nsw.gov.au