NEW JERSEY WORKERS
COMPENSATION INSURANCE PLAN
MANUAL FOR ONLINE
APPLICATION FOR DESIGNATION
OF AN INSURANCE COMPANY
IMPORTANT:
This Procedure Guide is designed to ease your navigation through the New
Jersey Workers’ Compensation Insurance Plan’s Web Based Application
Submission System. It is set up in the form of Chapters (designated by
Roman Numerals); Sections (Designated by Numbers) and Subsections
(Designated by Lower Case Letters). Thus, a reference to II.3.a refers to
Chapter II, Section 3, Subsection a of the Procedure Guide.
For Optimum Performance, the properties for your desktop area should be
set to 1024 X 768 pixels or higher. a.) Right click on the desktop and
choose Properties from the pull down. b.) Click on the Settings tab in the
Display Properties. c.) Change the Desktop Area by sliding the bar
between Less and More and click on the
button
a.)
b.)
c.)
The Orientation should be set to reflect Portrait and the margins should be
set to reflect 0.25”. In the browser a.) Click on File and choose Page Setup
from the pull down. b.) Make sure the radio button under Orientation for
Portrait is checked and change the Margins to 0.25” and click
.
a.)
b.)
FOR HELP SEE YOUR SYSTEMS ADMINISTRATOR.
i
Application for Designation of an Insurance Company electronic
submission is a windows based application. The focus of the
application will be highlighted in yellow. You can either click in a field
by using the mouse or tab from field to field. Clicking on or pressing
the enter key when a button has the focus will activate that button.
DEFINITION OF DIFFERENT FIELDS AND BUTTONS
This is a field. There will be a blinking cursor and
the field will be highlighted in yellow. This field has
the focus of the screen. Type in numeric or
alphabetic information. If there are more fields that
need to be filled in tabbing OR clicking in the field
with the mouse will bring you to the next field.
This is a command button. There are two types of
command buttons: (1) performs a particular function
like printing, (2) brings you to another screen.
Notice the yellow highlighting. This button has the
focus of the screen. Either click on button OR
pressing enter will activate this button.
This is a radio button.
Notice the yellow
highlighting. This button has the focus. You can
either click in the button or press the space bar and
a black bullet will appear . There are two ways to
get from radio button to radio button: (1) tabbing,
(2) using the arrow keys.
The above is a record.
within a record
The focus is on a field
Button when clicked will bring up an additional page
that can be used to type any additional information
needed for any Section of this Manual.
This is a menu bar.
This is a tool bar.
This is an address bar.
ii
TABLE OF CONTENTS
CHAPTER
SECTION
PAGE #
I.
Logging Onto The Web.
II.
Creating Agency/Employee ID’s
and Passwords.
Creating Agency ID and Password.
Creating Employee ID and Password.
Deleting an Employee.
Editing Employee Information.
1.
2.
3.
4.
III.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
IV.
1.
2.
Processing A New Assigned
Risk Application.
Log In.
Processing A New Application.
Items 1 Through 4 of the Application.
Item 5 – New Jersey Locations.
Deleting a New Jersey Location
(Entire Record).
Adding More Than 5 New Jersey
Locations.
Item 6 – Books and Records
Reflecting Payroll.
Item 7 - Ownership.
Deleting Ownership.
More than 5 Owners.
Item 8 – Insurance.
Items 9 - 11.
Item 12 – Classification.
Item 13 – Premium Payment.
Item 14 – Employer Certification.
Item 15 – Producer Certification.
Final Review.
Processing An Existing Application.
Log In.
Find An Existing Application
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1
4
8
11
11
12
14
16
19
21
22
23
24
27
27
28
30
33
35
35
35
36
44
45
I. LOGGING ONTO THE WEB
1.
Double click the Internet Explorer Icon on the desktop or the icon you
use to access the Internet
2.
To get to the Application For Designation Of An Insurance Company
Web Page you have to access the NJCRIB Web Site
Type the Internet address in the address bar
http://www.njcrib.com/
3.
Click the Go button.
NOTE: Once you have typed and accessed the correct address use the
pull down arrow for any future access which is located to the right of the
address bar and choose the correct address from the list and click Go OR
place in your favorites folder..
1
4.
NJCRIB Web Site.
5.
Click on
on the NJCRIB Home Page.
Keep in mind that the User ID and Password used to subscribe to
NJCRIB.com are not the same User ID and Password used for NJWC
Ins. Plan Application.
2
II. CREATING AGENCY/EMPLOYEE
ID’S AND PASSWORDS
User Log In Screen
DEFINITION OF BUTTONS
Brings up the Application Request Screen
only if User ID & Password are entered.
Refreshes the Screen.
Brings up a List of Producer/Employees under
an Agency allowing you to edit or add new
Producer/Employees to the list. Agency ID &
Password need to be entered when using this
button.
Brings up a Registration Form which allows
you to create a User ID and Password for
the Agency.
Brings you back to the NJCRIB Home Page.
3
1.
Creating Agency ID and Password.
Before a producer/employee can log on the Agency will need to register to
obtain an Agency ID and Password.
The Agency can create individual producer/employee ID(s) and
Password(s) if desired (See Section 2 Creating Employee ID and
Password). Then only the Agency can access all employee/producer
applications.
Individual Producer/Employees can only access their
applications.
OR
If you wish, your original Agency ID and Password can be used for all
employees, in which case all employees will have access to all work of the
agency.
Please note however, that E-mail acknowledgment of submitted
applications will then go only to the E-mail address provided when you
originally registered the agency. This may be a concern in those cases
where certification of coverage is required or an application is rejected and
the recipient of the registered E-mail address will be out of the office when
the E-mail acknowledgment arrives. If so, consider setting up a “general”
E-mail address to which all employees will have access.
If two or more Agencies need to be created because there is more than
one location follow the same instructions to create each Agency.
If you need any assistance call (973) 622-6014, and press prompt #1 then
3 (during business hours only).
1.a. Click on
Screen.
from the Log In
4
Agency Information Screen
DEFINITION OF BUTTONS
Brings you back to the
User Login Screen
When form is filled out clicking Submit will
automatically generate an Agency ID
Number.
5
1.b. Complete the top section of the Form by filling in all the
information pertaining to the Agency.
Your National Producer Number can be found by logging onto
https://www6.state.nj.us/DOBI_LicSearch/Jsp/insSearch.jsp
(Note: If you never applied for a National Producer Number
you have to register with the Department of Banking and
Insurance.)
There are two E-mail addresses, E-mail address (1) and
Accounting E-mail. Accounting E-mail is optional and can be
used if the Agency has a separate Accounting Department and
would like the Accounting Department to receive a separate Email pertaining to the check.
1.c. Complete the next section (Bank Information) which is optional.
The NJCRIB Web Based Application System requires
completion of a deposit premium check screen. If your office
has occasion to submit an Agency check for the deposit
premium this section can be filled out.
1.d. Create your own Agency Password.
1.e. Click Submit
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1.f.
A Dialog Box will appear informing you of your User ID and
Password. Write this information down. You will also receive
an e-mail verifying this same information.
1.g. Click OK
1.h. You will note that the top center of this screen has now added a
new button called
. This will allow
additional employees access to the system with a unique
password. Click this button to utilize the feature and follow the
instructions in II.2.d under Creating Employee ID and
Password.
1.i.
The following is a sample of the e-mail.
7
2.
Creating Employee ID and Password.
Employee/Producer List
DEFINITION OF BUTTONS
Brings you back to the User Login Screen
Allows you to view/edit the User
Allows you to Add New Employees under
the Agency.
Opens the Quick Start Guide in ADOBE
allowing you to print.
Opens the User Guide in ADOBE allowing
you to print.
8
2.a. Fill in the Agency User ID Number and Password.
2.b. Click User Maintenance
2.c. Click on Add New Employee.
Employee Information Screen (The same as Agency Information Screen)
2.d. All information pertaining to the Agency automatically fills in
with exception of “Employee Name” and “Password”. You may
also want to setup a unique e-mail address for added
employees. If you do this then change the information in “Email (1) Address” field. Any/All of the information can be edited
to the individual needs.
2.e. Fill in all blank fields
2.f.
Click Submit
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2.g. Dialog Box will appear informing you of the New Employee
User ID and Password. Write this information down. You will
also receive an e-mail verifying the same information.
2.h. Click OK.
2.i.
If you have more employees to add, click on
button and follow instructions 2d - h.
OR
Click on
button to begin processing a new
application. The system will place the Primary Agency User ID
and Password (Example 1). If necessary, change to the
employee ID and Password (Example 2). There is no need to
type in the leading zeros.
Example 1
Example 2
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3.
Deleting An Employee
Employees cannot be deleted because application(s) that have been
previously created will no longer be accessible. Simply change the
password and employee name and reuse for a future employee.
4.
Editing Employee Information
Once an employee is created they can edit their own information.
4.a. Type in
.
&
.
4.b. Click
Button.
4.c. Change any information and click the
4.d. Dialog box will appear.
4.e. Click
4.f.
Click
.
.
11
Button.
III. PROCESSING NEW ASSIGNED RISK
APPLICATIONS
User Log In Screen
Definition of Buttons explained in Chapter II.
1.
Log In
1.a. Type in
.
&
Type in
1.b. Click on
(asterisks will appear).
.
12
Application Request Screen
Since this is the first application being created by the
producer/employee, there will not be any application numbers listed.
DEFINITION OF BUTTONS
Brings up an existing application
Returns you to Logon Screen.
Brings up a blank application.
IMPORTANT NOTE: ALL APPLICATIONS WILL BE REMOVED FROM
WEB SYSTEM AFTER 30 DAYS REGARDLESS OF DESIGNATION.
13
2.
Processing A New Application
2.a
Click
and Rules Form.
2.b
Click
to acknowledge the instructions have been read and
explained to the applicant.
.. This will generate the NJ Plan Instructions
14
Blank New Application Screen
15
DEFINITION OF BUTTONS ON NEW APPLICATION SCREEN
Saves and refreshes the screen. Will hold the data entered
and places the application in our files even if it is not
complete. However, no NJCRIB processing will occur.
Returns you to the Application Request
Screen.
Screen to record locations.
Screen to record ownership.
Screen to record Insurance Records.
Screen to Record Classification of
Operations, Premiums and Payments
Brings up the Notice of Election Form.
Brings up the check draft.
Brings up the Truckers Supplemental
Application
Brings up the Employee
Leasing Supplemental App.
16
3. Items 1 Through 4 of the Application
3.a
The boxes in red must be completed to get a unique
application number. Type in all information needed.
3.b
Click on
button. If you do not get
any error messages pertaining to Items 1-4 go to III.4 of this
Manual under Item 5 – New Jersey Locations. If there are
errors (See 3.c below) click OK, fix the errors and click on the
“Section 5. Locations” button again.
OR
If you do not want to complete the application at this time click
on
button and an application number will be assigned so
you can continue at a later date. Additional buttons will appear
at the top of the screen. The definition of these buttons are
after III.3.c.
NOTE: Once the application number is assigned, clicking on any
command button after the first save automatically saves the information
entered. (It is always a good idea to Save as you complete each section.
This ensures that your information will be saved even if there is an unusual
event such as a power outage or disconnect from the Internet.)
17
3.c. Some error messages you will get if Sections 1-4 are not
completed or filled out incorrectly are shown in Example 1 or
Example 2. Most common errors for example 2 are: a)
coverage requested Eff. Date is not at least one day in advance
or b) not putting a slash or dash between month, date and year.
Click on
.
Example 1
Example 2
3.d. Fix the error then go back to 3.b above to continue.
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Additional buttons on the Main Form after the first save.
DEFINITION OF ADDITIONAL BUTTONS
Prints the Application and the Fax Authorization
Page.
Prints just the Fax Authorization Page.
Brings up a page to enter any supplemental
information, i.e. when extra sheets are needed to
record any additional information.
Use when the application is complete and ready to
process. This will do more extensive editing and
checking than SAVE. It will bring up the sections
that have errors. When the application is correct,
authorization forms, check input forms and Notice of
Election (if needed) will be automatically brought up.
IMPORTANT NOTICE: If for any reason a change
or correction to the application should take place
before the authorization form is faxed you need to
click FINAL REVIEW or the data base WILL NOT
be updated.
19
4. Item 5 - New Jersey Locations
4.a. Click on
Location of New Jersey Shops, Yards or Work Places Screen.
Definitions of Buttons
Returns you to the Application.
Returns an additional locations page.
This button will become active as you
begin to enter information in the final
location field.
Returns a prior page of location
information. This button will only appear if
there are multiple location pages.
Saves and refreshes the screen. Will hold
the data entered and places the application
in our files even if it is not complete.
20
4.b. If the location is the same as the mailing address, enter the
word SAME in “street” field and enter the number of employees
in the “Max # Empl./Shift” field and click on
. (Note:
City, County, State & Zip not required if Same.)
4.c. If not SAME all fields need to be completed.
4.d. Click on
Click on
(Saves Data and returns to Main Form).
OR
(Saves Data and refreshes the screen)
Note: If no errors continue onto Section 7. “Item 6 – Books and Records
Reflecting Payroll.” If there is an error see 4.e. below.
4.e. If you forget to fill in any part of the address you will get an error
dialog box. Click Ok.
4.f.
Correct the error.
4.g. Click on
Click on
(Saves Data and returns to Main Form).
OR
(Saves Data and refreshes the screen)
21
5.
Deleting A New Jersey Location (Entire Record):
This feature will usually only apply if you have inserted incorrect location
information.
5.a. Click on
button.
5.b. Click in the box next to
for the address
you want to delete (notice the box will turn yellow) type a ‘Y’.
5.c. Click on
(Saves Data and returns to Main Form).
OR
Click on
(Saves Data and refreshes the screen)
The address that was deleted is left blank but once you get out of this
screen and come back in the other locations (if any) have moved up.
NOTE: The above will apply to all sections that allow for a deletion of the
entire record.
22
6.
Adding More than 5 New Jersey Locations.
If you have more than 5 locations, as you begin to enter the 5th location the
system will automatically activate the
button. Finish
th
completing the information for the 5 location then:
6.a. Click on
.
6.b. You will notice that the system has automatically entered the
last record of the prior screen as the first record of the new
screen. This is done to help you remember the information you
have already entered.
6.c. Type the additional locations
6.d. When finished typing all locations Click on
Data and returns to Main Form).
OR
Click on
(Saves Data and refreshes the screen)
23
(Saves
7.
Item 6 – Books and Records Reflecting Payroll
7.a. Fill out Items 6 – 6c.
7.b. If more space is needed click on
Button.
Supplemental Information Screen
7.c. Enter the “Item #”
on the first line only for that specific
item (Example below). Then tab to the “description field”, type
the information needed. Keep in mind the words will not wrap
to the next line. If the description for a specific “Item #”
exceeds one full line of typing you must tab twice to get to the
subsequent “description field”. You can leave blank lines in
between each statement.
OR
Use the mouse and click in the next “description field” and type
the information needed.
(Example)
24
8.
Item 7 – Ownership
8.a. Click on the
button.
Ownership Information Screen.
Definition of Buttons
Returns you to the Application.
Returns an additional ownership page.
This button will become active as you begin to
enter information in the 5th ownership field.
Returns a prior page of ownership information.
This button will only appear if there are
multiple ownership pages
Saves and refreshes the screen. Will hold the
data entered and places the application in our
files even if it is not complete.
25
The entity status chosen in Item 4 of the application determines which radio
button is active.
If you have chosen “Corporation”, “LLC”, “LLP”, “Partnership” or
“Subchapter ‘S Corp.” the “Yes” radio button is active and you will get the
“% of stock owned” field and the “No” radio button will be grayed and
inactive.
If you have chosen “Individual” or “Non Profit Corp” the No radio button is
active and you will not get the “% of stock owned” field and the “Yes” radio
button will be grayed and inactive.
If you have chosen “Other” the Yes and No radio buttons will be active and
you will have to determine which will apply. The “Yes” radio button is the
default.
8.b. Type Ownership Information. The following example is based
on the “Yes” radio button.
(Example)
8.c. Click on
OR
Click on
(Saves Data and returns to Main Form).
(Saves Data and refreshes the screen)
26
8.d. If Yes is the active radio button and stock does not equal 100%
OR
If you leave a field blank clicking on Main Form will result in an
error message see (Example 1) OR (Example 2).
Example 1
Example 2
8.e. Click OK.
8.f.
Correct ownership.
8.g. Click on
Click on
(Saves Data and returns to Main Form).
OR
(Saves Data and refreshes the screen)
27
9.
Deleting Ownership.
9.a. Click on
button.
9.b. Click in or tab to the box on the ownership line you want to
delete and type a Y.
9.c. Click
.
The ownership information you deleted has disappeared. You can
continue to type the correct information. Change Stock for Owner #2 to
100% if necessary.
9.d. Click on
Click on
10.
(Saves Data and returns to Main Form).
OR
(Saves Data and refreshes the screen)
More than 5 owners.
Follow the same instructions as in III.6.a-d Adding More than 5 New
Jersey Locations.
28
11.
Item 8 – Insurance
11.a. Click on the
Button
Insurance Record Screen
Definition of Buttons
Returns you to the Application
Saves and refreshes the screen. Will hold the
data entered and places the application in our
files even if it is not complete.
29
Top part of Insurance Record Screen:
11.b. Click the appropriate “Yes” or “No” Radio Button.
If “Yes” Click or tab to “Plan” or “Voluntary” and fill out the
“Reason For Filing Application.”
11.c. Fill in the Previous Insurance Company Information.
If “No” Click in or tab to “New Business”, Self Insurance” or if
“Other” explain.
11.d Click on
Click on
(Saves Data and returns to Main Form).
OR
(Saves Data and refreshes the screen)
30
12.
Items 9 – 11
12.a Fill in Items 9 through 11.
12.b Any “yes” response in Item # 9 or Item # 11.1-11.11 must be
explained on the Supplemental Page. Click
button.
12.c If Item 11.9 is answered “Yes”, once the application is
completed and you click on the “Final Review” button, you will
be directed to the “Employee Leasing” screen
31
12.c If Item 11.9 is answered “Yes”, once the application is
completed and you click on the “Final Review” button, you will
be directed to the “Truckers’ Supplemental Application” screen
to provide additional information required for Code 7219 and/or
7196.
Truckers Supplemental Application Screen.
Complete all requested fields on the “Truckers’ Suupplemental Form” then
click on “Main Form” to continue the “Final Review” process.
32
If Item #11 requires additional comments type the question you are
explaining i.e. 11.1
, 11.2 etc. Tab to “description” field and provide
additional information.
12.d Click on
Click on
(Saves Data and returns to Main Form).
OR
(Saves Data and refreshes the screen)
33
13.
Item 12A – B – Classification of Operations
12A – Current Classification of Operations
12B – Projected Classification of Operations
13.a Click on
.
13.b Click on
34
Definition of Buttons
Returns you to the Application.
If you have more
class codes than space provided clicking this button will bring up a sheet to
record additional codes if needed.
Once clicked will calculate, save and
refresh.
35
Sample of a Simple Classification of Operations Worksheet.
The system performs all premium calculations.
13.b. Type in Classification Phraseology, Total # of Employees Per
Code, Class Code and Total Wages. (If total # of employees is
on an “if any” basis, type 0 in “Total # of Employees Per Code”
and “Total Wages.”)
13.c. If client desires Increased Employer’s Liability Limits check
“yes” in appropriate field. If not, leave field blank.
13.d. Insert Experience Mod to three (3) decimal places. If no mod.
type “None” in this field. This field must have an entry.
13.e. If applicant is a construction risk eligible for CCPAP Credit, type
appropriate credit to two (2) decimal places in appropriate field.
13.f. Type any other premium charges (if applicable).
13.g. Enter applicable PPAP. Type appropriate debit to two (2)
decimal places in appropriate field.
36
13.h. Click on
Button.
All calculations are automatically filled in, except for the Deposit Premium.
3.
13.i. Compute the deposit to be sent then manually type this amount
in the
field.
Minimum deposit is 40% of total estimated cost.
WARNING: If you try to get back to the Main Form before typing in the
appropriate deposit you will get the following error message.
37
14.
Item 13 – Premium Payment
Premium Deposit Payment is automatically filled in.
15.
Item 14 – Employer Certification
Fill out Employer Information. A signature is not required, but you
must type an authorized name in required place.
16.
Item 15 – Producer Certification
Producer Certification is automatically filled out. If you need to
change any of the Producers information you can. A signature is not
required, but you must type an authorized name in required place.
38
17.
Final Review
17.a. Click on the Final Review Button.
Once this button is
clicked a final review will take place and if there is any error(s)
you will be returned to that page for any correction(s). You will
not be able to continue until all errors are fixed. Correct the
error(s) and click
.
17.b. Notice of Election Form
This form will only appear if needed.
The following dialog box will appear. Click
button.
17.c You Must fill out this form.
● When selecting the radio button for “Coverage Is Elected” the
cursor automatically defaults to the first line in “Name(s) of
Proprietor or all Partners.”
● When selecting the radio button for “Coverage Is Rejected”
the cursor automatically defaults to the “Signature Line.”
● If more names are needed follow the same instructions in III.6
“Adding More than 5 New Jersey Locations.”
39
17.d. Here again, a signature is not required, but this field Must be
completed.
17.e. Click on
(Saves Data and returns to Main Form.
NOTE: The system will continue to go through the Final Review.
Another possible error would be a “Yes” response to either Item 9 or 11 on
the application. Without the required explanation an error will be triggered
directing the user to the “Supplemental Information Form Screen.”
40
The Web based application system has now completed the Final Review
Process. The next screen will be the Payment Information Screen. When
completed and submitted to the Bureau, this screen becomes the actual
deposit premium check deposited by the assigned carrier.
When using a check issued by the Agency/Producer you have the option of
filling in the “Check #” or leaving it blank. When filling in the check # Never
use the same check # more than once. If, you want to continually reuse
the same voided check for faxing purposes, leaving the “check #” field
blank will automatically assign the application number as the check #. Send
the voided check along with the Authorization Form. (Note: Inform your
Accounting Dept. that the voided check will have the application number as
the check #.)
There will be a dialog box telling you to Enter Name. Click
.
Payment Information Screen:
The focus will default to the first line of “Account of:”
III.17.e
There are three different options to filling out the
“Account of:” portion of this screen.
III.17.e.1 Check from Agency or Producer
III.17.e.2 Check from Client
III.17.e.3 Check from Other
41
III.17.e.1
Check from Agency or Producer.
Click in the radio button next to “Account of:” field
for the “Producer”. The system will automatically
pull the appropriate information from the application
If the deposit premium check comes from the
Agency or Producer’s account, you do not have to
enter a check number. If you leave the “check #”
field blank the following dialog box will appear.
Click
and the system will assign the application
number as the check number.
“Pay To The Order Of” and “Pay Exactly” fields are
automatically filled in.
If bank information was supplied when the agency
originally registered, and the “Producer” radio button is
selected, the check screen will be completely filled out
for you (with the exception of the “check number” and
“Verify Account #” fields). Type the account # in the
“Verify Account #” field.
42
If you did not supply bank information at agency
registration, you will be required to type in the name
and address of your bank, as well as the “Transit
#(ABA)” and “Account and Account Verification
Numbers”.
Tab to the “
” button and click.
43
III.17.e.2. Check from Client.
Click in the radio button next to “Account of:” field
for “Client.” The system will automatically pull the
appropriate information from the application
The system has now defaulted the focus to the
field. Fill in the check number
. to
correspond with the number of the client’s deposit
premium check.
“Pay To The Order Of” and “Pay Exactly” fields are
automatically filled in.
Tab to, and type in the name and address of the
client’s bank.
Tab to the field for the bank routing number “Transit
#(ABA)” and type it in from the client’s check. Then
tab to “Account Number” and type it in. When you
tab again, you will be required to enter the account
number a second time. This is to ensure accuracy
of the number entered.
Tab to the “
” button and click.
44
III.17.e.3. Check from Other.
Click in the radio button next to “Account of:” field
for “Other.” Type in the appropriate information (ie
Premium Finance Company).
The system has now defaulted the focus to the
field. Fill in the check number
.
“Pay To The Order Of” and “Pay Exactly” fields are
automatically filled in.
Tab to, and type in the name and address of the
payor’s bank.
Tab to the field for the bank routing number “Transit
#(ABA)” and type it in from the payor’s check. Then
tab to “Account Number” and type it in. When you
tab again, you will be required to enter the account
number a second time. This is to ensure accuracy
of the number entered.
Tab to the “
” button and click.
III.17.f. Dialog box will appear. Please read and click .
.
WARNING:
If you later make changes to the
application after you click OK you must click Final
Review again for the database to be updated.
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Authorization For Release of Funds and Certification Screen.
46
III.17.g. Click
to print the Authorization Form.
IN ALL CASES, THIS FORM
1.
2.
3.
4.
5.
6.
MUST BE SIGNED IN ALL THREE DESIGNATED
AREAS
MUST HAVE A VOIDED CHECK ATTACHED
FROM THE ACCOUNT OF THE PERSON OR
ORGANIZATION SUBMITTING THE DEPOSIT
PREMIUM. THE BUREAU WILL PRODUCE AN
ACTUAL CHECK BASED ON INFORMATION
PROVIDED ON THE CHECK SCREEN.
MUST BE FAXED TO THE BUREAU
YOU MAY NOT MAKE ANY CHANGES TO THE
APPLICATION ONCE YOU HAVE FAXED THE
AUTHORIZATION
PAGE
TO
NJCRIB.
DO NOT SEND A COVER SHEET OR A COPY OF
THE APPLICATION WITH FAX, IT WILL ONLY BE
DISCARDED.
IF ENOUGH SPACE IS NOT PROVIDED TO
ATTACH THE CHECK DO NOT COVER THE APP.
ID OR THE SIGNATURES.
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IV.Processing An Existing Application
1.
Log In.
Follow the same Steps for logging in as in Chapter III.1 of
Processing A New Assigned Risk Application.
Application Request Screen.
Definition of Buttons See Chapter III under
Application Request Screen.
If you are logged on as the Agency you will see a list of all existing
applications by all Users. The Individual Users are separated by a solid
yellow line.
If you are logged on as the Employee of an Agency, you will only see the
existing applications belonging to that User.
If more than one User is using the same User ID and Password you will
see the existing applications for all users.
The lists will be in alphabetical order by “Employer’s Name” within the
“Application Number.”
There are five fields in the list.
“User Number” – Unique Employee Number.
“Application Number” – Automatically assigned. Needed to view
an existing application.
“Application Date” – Date the application number was assigned.
“Status” – Progression of Application.
“Employer’s Name” – Used to perform a generic search.
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2.
Finding an Existing Application.
You need to know the Application Number or Employee’s Name in order to
view or make changes to an existing application.
You may not make changes to an application after you have faxed the
authorization page to NJCRIB.
To find an application number you can either scroll down the list (a) or
perform a generic search (b).
2.a. Finding Application Number by scrolling.
Using the scroll bar to the right, scroll down the list
.
.
Click on
.
You can make whatever changes needed to complete
or correct the application.
If you do not Click Final Review the following Warning
message will appear. If you are not ready to put this
application through Final Review click
and exit to a
new application or existing application.
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2.b
Finding Application # by Performing a Generic Search
Since the list will eventually scroll off the screen you can perform a generic
search by Employer Name.
Type partial name in “Search by employer’s name field”.
Click on
or press the Enter Key.
Notice the list has been narrowed down by the search. Choose
from the list the Application Number and follow the instructions
from IV.2.a. above.
Once you have found and displayed the Application, you can now complete
and submit to NJCRIB as described in this Manual. Don’t forget to click on
“Final Review” Button when Application is ready for submission.
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