Easily parse data from an Acord 130 Workers Compensation Application form.
Fields include:
• Agency Name
• Agency Address
• Producer
• CS Representative Name
• Agency Office Phone
• Agency Mobile Phone
• Agency Fax
• Agency Email Address
• Code
• Sub Code
• Agency Customer ID
• Company
• Underwriter
• Applicant Name
• Applicant Office Phone
• Applicant Mobile Phone
• Applicant Mailing Address
• Applicant Address
• Yrs in Bus
• SIC
• NAICS
• Website Address
• Applicant email Address
• Sole Proprieter
and many, many more…
