Workers Compensation Claim Kit - Alabama

BHHC Workers Compensation | Representing Financial Strength & Integrity | bhhc.com

BHHC AL Claims Kit Introductory Letter – 07/31/2017 (page 3 of 45)

BHHC Requirements for AL Posting Notices – 08/10/2017 (page 4 of 45)

AL Form WCC‐1 – Workers’ Compensation Information Poster - 10/2012 (page 5 of 45)

AL Form WCC‐2 – Employer’s First Report of Injury or Occupational Disease With Instructions

and Codes‐ 10‐2012 (pages 6‐35 of 45)

BHHC Employee’s Authorization for Release of Information (English & Spanish) – 06/10/2019

(page 36-37 of 45)

BHHC Medical History Request – 02/25/2014 (page 38 of 45)

BHHC General Employee Accident Report – 02/25/2014 (page 39 of 45)

BHHC General Supervisor Accident Report – 02/25/2014 (page 40 of 45)

BHHC General Witness Accident Report – 02/25/2014 (page 41 of 45)

BHHC Express Scripts First Fill Form (English & Spanish) – 12/2018 (pages 42-43 of 45)

BHHC Workers’ Compensation Fraud Posters (English & Spanish) - 08/10/2017 (pages

44‐45 of 45)
 P.O. Box 881236, San Francisco, CA 94105 | Phone: (888) 495-8949 | bhhc.com

Dear Policyholder:

Thank you for placing your workers compensation coverage with Berkshire Hathaway
Homestate Companies (BHHC). We look forward to working with you to fulfill all your workers
compensation needs.

Enclosed you will find documentation necessary for the processing and administration of a
claim in the event of a workplace injury, as well as important information regarding workers
compensation requirements for your state (i.e. posting notices, compliance laws, etc). Please
utilize the documents included to collect valid information regarding the injured employee and
incident, and send the documents in when reporting the claim or upon request. Any completed
document should be sent directly to BHHC using mail, e-mail, or fax. The assigned claims
professional will forward necessary documentation onto the appropriate state entity.

It is critical that you promptly report all new claims using one of the following methods:

Online: 1. Go to our website: www.bhhc.com

2. Highlight “Workers Comp” in the menu
3. Highlight “Claims Center”
4. Click “Report a Claim”
Phone: (800) 661-6029
Fax: (800) 661-6984
E-mail: [email protected]

Alabama state law recommends employers report every industrial injury or occupational
disease claim to their workers compensation carrier as soon as possible or within 5 days of
employer knowledge of injury.

State law also requires that employers authorize initial medical treatment within 24 hours of
knowledge that an occupational injury of illness has been sustained or reported, regardless of
the legitimacy of the claim. Failure to comply may result in the loss of “medical control” and a
significant increase in the potential claim cost.

We will attempt to contact you and the injured worker within 24 hours of receiving the First
Report of Injury. Your cooperation in allowing the injured employee to speak with one of our
Claims Professionals is appreciated.

Should you have any questions regarding the contents of this kit, a claim, or claim reporting,
please contact our Customer Care Center at (888) 495-8949. Questions regarding your
insurance policy or coverage should be directed to your broker or agent. We thank you for
choosing BHHC as your workers compensation carrier and look forward to providing you
superior customer service and compassionate care for your injured workers.

BERKSHIRE HATHAWAY HOMESTATE COMPANIES

BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY BROOKWOOD INSURANCE COMPANY CONTINENTAL DIVIDE INSURANCE COMPANY
CYPRESS INSURANCE COMPANY OAK RIVER INSURANCE COMPANY REDWOOD FIRE AND CASUALTY INSURANCE COMPANY
BHHC Workers Compensation | Representing Financial Strength & Integrity | bhhc.com

WORKERS’ COMPENSATION POSTING REQUIREMENTS

Requirements for WCC‐1 – Workers’ Compensation Information Poster

 Post in one or more conspicuous places at all business locations

 Must contain the insurance carrier’s name and contact information

To complete the form, please enter the name of you designated insurance carrier in the space
provided. For your convenience, our other contact information has been entered on the Form WCC‐
1.

(Code of Alabama §25 -5 -2 90(d))

 STATE OF ALABAMA
WORKERS'
COMPENSATION
INFORMATION

If you are injured on the job, or

contract an occupational disease,
notify your employer immediately.

Your employer will advise you of

the physician to see for authorized
medical treatment.

WORKERS' COMP INSURANCE

CARRIER______________________________________
Carrier Name -
Carrier Address - PO Box 881716, San Francisco, CA 94188
TELEPHONE NUMBER___________________________
1-800-661-6029

ASSISTANCE IS AVAILABLE UNDER THE ALABAMA WORKERS’

COMPENSATION LAW INCLUDING MEDIATION SERVICE.
FOR INFORMATION CALL:
1-800-528-5166
Alabama Department of Labor
Workers' Compensation Division
649 Monroe Street
Montgomery, AL 36131
CODE OF ALABAMA, 1975, § 25-5-290(d), REQUIRES THAT THIS NOTICE BE
POSTED
IN ONE OR MORE CONSPICUOUS PLACES IN YOUR BUSINESS.
FORM WCC#1 10/12
 THE USE OF THIS FORM IS REQUIRED UNDER THE PROVISIONS OF THE ALABAMA WORKMEN’S COMPENSATION LAW
WCC Form 2
Rev. 10/2012 STATE OF ALABAMA
EMPLOYER’S FIRST REPORT OF INJURY
OR OCCUPATIONAL DISEASE

CLAIM REFERENCE
1. Insured Report Number 2. Filing Office Claim Number 3. OSHA Log Case Number

EMPLOYER
4. Employer Business Name ADDRESS, IF LOCATION DIFFERENT FROM BUSINESS ADDRESS
5. Physical Address 1 10. Mailing Address 1
6. Physical Address 2 11. Mailing Address 2
7. City 8. State 9. Zip 12. City 13. State 14. Zip
15. Federal ID Number 16. U.C. Account Number 17. NAICS
INSURER / FILING OFFICE
18. Insurer Name 21. Filing Office Name
22. Mailing Address 1
19. Insurer Federal ID Number 23. Mailing Address 2 or Telephone Number
24. City 25. State 26. Zip
20. Type Insurer Ins Co Self-Insurer Group Fund 27. Filing Office Federal ID Number
EMPLOYEE / WAGES
28. First Name 32. Employee ID Number
29. Middle Name 33. Type Employee ID Number
30. Last Name SSN Passport Number Green Card
31 Last Name Suffix (ie. Jr., Sr., III) Employment Visa Assigned by Jurisdiction
34. Mailing Address 1 40. Gender 41. Date of Birth
35. Mailing Address 2 Male
36. City 37. State 38. Zip 39. Phone Female 42.Nbr of Dependents
43. Marital Status 44. Date Hired
Unmarried (Single or Divorced or Widowed) Married Separated Unknown
45. Occupation Description 46. Number of Days Worked Per Week
47. Wages $ 49. Received Full Pay For Day of Injury? Yes No
48. Hourly Daily Weekly Bi-weekly Monthly 50. Did Salary Continue? Yes No
INJURY / TREATMENT
51. Date of Injury 52. Time of Injury 53. Time Employee Began Work 54. Date Disability Began 55. Date of Death
a.m. p.m. unk a.m. p.m.
PLACE OF ACCIDENT, INJURY, OR EXPOSURE
61. Injury Occurred on Employer’s Premises?
Yes No
56. Site Address
57. City 58. State 59. Zip
62. Date Employer Notified
60. County
63. DESCRIBE WHAT THE EMPLOYEE WAS DOING JUST BEFORE THE INCIDENT AND HOW THE INJURY OCCURRED. ( Ex. While climbing a
ladder and carrying roofing materials, ladder slipped on wet floor causing worker to fall 20 feet.)

PROVIDE DESCRIPTION CODES to identify Nature of Injury, Part of Body that was affected, and Cause of Injury.
(FOR COMPLETE LIST OF CODES, GO TO HTTP:// LABOR.ALABAMA.GOV/WC

64. Nature of Injury Code 65. Part of Body Code 66. Cause of Injury Code
67. Initial Treatment No Medical Treatment 68. Name of Treatment Facility
First Aid By Employer Minor Clinic / Hospital
69. Address
Emergency Room Hospitalized Overnight
Hospitalized > 24 Hours Outpatient Treatment 70. City 71. State 72. Zip
73. Name of Physician or Other Health Care Professional 74. Has Injured Returned to Work If so, 75. Date
Yes No 76. Time a.m. p.m.
OTHER
77. Date Prepared 78. Preparer’s First Name 79. Last Name 80. Title 81. Preparer’s Telephone Number

03/01/2006
 NATURE OF INJURY PART OF BODY CAUSE OF INJURY
01. No Physical Injury 10. Multiple Head Injury 01. Chemicals
02. Amputation 11. Skull 02. Hot Objects or Substances
03. Angina Pectoris 12. Brain 03. Temperature Extremes
04. Burn 13. Ear(s) 04. Fire or Flame
07. Concussion 14. Eye(s) 05. Steam or Hot Fluids
10. Contusion 15. Nose 06. Dust, Gases, Fumes or Vapors
13. Crushing 16. Teeth 07. Welding Operation
16. Dislocation 17. Mouth 08. Radiation
19. Electric Shock 18. Soft Tissue 09. Contact With, NOC.
22. Enucleation 19. Facial Bones 10. Machine or Machinery
25. Foreign Body 20. Multiple Neck Injury 11. Cold Objects or Substances
28. Fracture 21. Vertebrae 12. Object Handled
30. Freezing 22. Disc 13. Caught In, Under or Between, NOC.
31. Hearing Loss or Impairment 23. Spinal Cord 14. Abnormal Air Pressure
32. Heat Prostration 24. Larynx 15. Broken Glass
34. Hernia 25. Soft Tissue 16. Hand Tool, Utensil; Not Powered
36. Infection 26. Trachea 17. Object Being Lifted or Handled
37. Inflammation 30. Multiple Upper Extremities 18. Powered Hand Tool, Appliance
40. Laceration 31. Upper Arm 19. Caught, Puncture, Scrape, NOC.
41. Myocardial Infarction 32. Elbow 20. Collapsing Materials (Slides of Earth) Either Man Made or Natural
42. Poisoning - General 33. Lower Arm 25. From Different Level (Elevation) Off Wall, Catwalk, Bridge, Etc.
43. Puncture 34. Wrist 26. From Ladder or Scaffolding
46. Rupture 35. Hand 27. From Liquid or Grease Spills
47. Severance 36. Finger(s) 28. Into Openings Shafts, Excavations, Floor Openings, Etc.
49. Sprain or Tear 38. Shoulder(s) 29. On Same Level
52. Strain or Tear 39. Wrist (s) & Hand(s) 30. Slipped, Do Not Fall
53. Syncope 40. Multiple Trunk 31. Fall, Slip or Trip, NOC.
54. Asphyxiation 41. Upper Back Area 32. On Ice or Snow
55. Vascular 42. Lower Back Area 33. On Stairs
58. Vision Loss 43. Disc 40. Crash of Water Vehicle
59. All Other Specific Injuries, NOC 44. Chest 41. Crash of Rail Vehicle
60. Dust Disease, NOC 45. Sacrum and Coccyx 45. Collision or Sideswipe With Another Vehicle
61. Asbestosis 46. Pelvis 46. Collision with a Fixed Object Standing Vehicle or Stationary Object
62. Black Lung 47. Spinal Cord 47. Crash of Airplane
63. Byssinosis 48. Internal Organs 48. Vehicle Upset Overturned or Jackknifed
64. Silicosis 49. Heart 50. Motor Vehicle, NOC.
65. Respiratory Disorders 50. Multiple Lower Extremities 52. Continual Noise
66. Poisoning - Chemical, (Other Than Metals) 51. Hip 53. Twisting
67. Poisoning - Metal 52. Upper Leg 54. Jumping
68. Dermatitis 53. Knee 55. Holding or Carrying
69. Mental Disorder 54. Lower Leg 56. Lifting
70. Radiation 55. Ankle 57. Pushing or Pulling
71. All Other Occupational Disease Injury, NOC 56. Foot 58. Reaching
72. Loss of Hearing 57. Toes 59. Using Tool or Machinery
73. Contagious Disease 58. Big Toes 60. Strain or Injury By, NOC.
74. Cancer 60. Lungs 61. Wielding or Throwing
75. AIDS 61. Abdomen Including Groin 65. Moving Part of Machine
76. VDT - Related Diseases 62. Buttocks 66. Object Being Lifted or Handled
77. Mental Stress 63. Lumbar & or Sacral Vertebrae 67. Sanding, Scraping, Cleaning Operation
78. Carpal Tunnel Syndrome 64. Artificial Appliance 68. Stationary Object
79. Hepatitis C 65. Insufficient Info to Properly Identify 69. Stepping on Sharp Object
80. All Other Cumulative Injury, NOC 66. No Physical Injury 70. Striking Against or Stepping On, NOC.
90. Multiple Physical Injuries Only 90. Multiple Body Parts 74. Fellow Worker; Patient
91. Multiple Injuries Including Both Physical & Psychological
91. Body Systems and Multiple Body 75. Falling or Flying Object
99. Whole Body 76. Hand Tool or Machine in Use
INSTRUCTIONS FOR FILING WC FIRST REPORT OF INJURY 77. Motor Vehicle
Employers should send a completed legible form to the insurance carrier or, if self-insured, to the designated 78. Moving Parts of Machine
office handling their workers’ compensation claims. The insurance carrier or designated office should forward this 79. Object Being Lifted or Handled
First Report on to the Workers’ Compensation Division, Department of Labor, Montgomery, Alabama 36131 within 80. Object Handled By Others
fifteen (15) days from the date of injury or date of notification to the employer for all injuries for which
81. Struck or Injured, NOC.
compensation is claimed or paid. This includes deaths, permanent disabilities or temporary disabilities exceeding
three (3) days). 82. Absorption, Ingestion or Inhalation, NOC
Block 1. A number assigned by the insured to identify a specific claim 84. Electrical Current
Block 2. An identifier for a specific claim within a claim administrator’s claims processing system. 85. Animal or Insect
Block 3. Case number from log maintained for OSHA 86. Explosion or Flare Back
Block 4 - Block 14. Self Explanatory
Block 15. Employer Federal ID number
87. Foreign Matter (Body) in Eye(s)
Block 16. Employer Unemployment Compensation Account Number 88. Natural Disasters
Block 17. NAICS Industry Codes http://dir.alabama.gov/docs/forms/wc_naics.pdf 89. Person in Act of a Crime
Block 18. Carrier’s name 90. Other Than Physical Cause of Injury
Block 19. Carrier’s FEIN 91. Mold
Block 20. A code representing the kind of entity providing financial responsibility for the claim, exp: ( I )
Insurance Carrier (S) Self Insurer (G) Guarantee Fund/Group
94. Repetitive Motion Callous, Blister, Etc.
Block 21 through Block 63. Self Explanatory 95. Rubbed or Abraded, NOC.
Block 64. Nature of Injury Codes http://dir.alabama.gov/docs/forms/wcio_nature_table.pdf 96. Terrorism
Block 65. Part of Body Codes http://dir.alabama.gov/docs/forms/wcio_part_table.pdf 97. Repetitive Motion Carpel Tunnel Syndrome
Block 66. Cause of Injury Codes http://dir.alabama.gov/docs/forms/wcio_cause_table.pdf 98. Cumulative, NOC
Block 67 through Block 81. Self Explanatory
99. Other - Miscellaneous, NOC
 NAICS Codes and Titles: 6-digit Codes Only
For more information please visit: North American Industry Classification System (NAICS) Main Page ? U.S. Census Bureau
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
327910 Abrasive Product Manufacturing
325520 Adhesive Manufacturing
924110 Administration of Air and Water Resource and Solid Waste Management
Programs
924120 Administration of Conservation Programs
923110 Administration of Education Programs
926110 Administration of General Economic Programs
925110 Administration of Housing Programs
923130 Administration of Human Resource Programs (except Education, Public
Health, and
923120 Administration of Public Health Programs
925120 Administration of Urban Planning and Community and Rural Development
923140 Administration of Veterans' Affairs
541611 Administrative Management and General Management Consulting Services
541810 Advertising Agencies
541870 Advertising Material Distribution Services
711410 Agents and Managers for Artists, Athletes, Entertainers, and Other Public
Figure
333912 Air and Gas Compressor Manufacturing
333411 Air Purification Equipment Manufacturing
488111 Air Traffic Control
333415 Air-Conditioning and Warm Air Heating Equipment and Commercial and
Industrial Re
336412 Aircraft Engine and Engine Parts Manufacturing
336411 Aircraft Manufacturing
325181 Alkalies and Chlorine Manufacturing
713990 All Other Amusement and Recreation Industries
112990 All Other Animal Production
811198 All Other Automotive Repair and Maintenance
325188 All Other Basic Inorganic Chemical Manufacturing
325199 All Other Basic Organic Chemical Manufacturing
561499 All Other Business Support Services
532299 All Other Consumer Goods Rental
322299 All Other Converted Paper Product Manufacturing
315299 All Other Cut and Sew Apparel Manufacturing
452990 All Other General Merchandise Stores
111199 All Other Grain Farming
446199 All Other Health and Personal Care Stores
442299 All Other Home Furnishings Stores
333298 All Other Industrial Machinery Manufacturing
519190 All Other Information Services
524298 All Other Insurance Related Activities
316999 All Other Leather Good Manufacturing
541199 All Other Legal Services
212299 All Other Metal Ore Mining
621999 All Other Miscellaneous Ambulatory Health Care Services
325998 All Other Miscellaneous Chemical Product and Preparation Manufacturing
111998 All Other Miscellaneous Crop Farming
335999 All Other Miscellaneous Electrical Equipment and Component
Manufacturing
332999 All Other Miscellaneous Fabricated Metal Product Manufacturing
311999 All Other Miscellaneous Food Manufacturing
333999 All Other Miscellaneous General Purpose Machinery Manufacturing
339999 All Other Miscellaneous Manufacturing
 P.O. BOX 881716 • SAN FRANCISCO CA 94188 • TOLL FREE: (800) 661-6029 • FAX: (415) 675-5469

AUTHORIZATION FOR THE RELEASE OF INFORMATION

AUTORIZACIÓN PARA LA LIBERACIÓN DE INFORMACIÓN

Claim Number / Número de Reclamo Date of Injury / Fecha de la Lesión

Employee / Empleado Date of Birth / Fecha de Nacimiento

I hereby authorize the divisions of Berkshire Hathaway Homestate Companies, their representative or bearer, to review, inspect, copy,
and/or photograph any and all of the following documents:

Por este medio autorizo las divisiónes de Berkshire Hathaway Homestate Companies, su representante o portador, a revisar, inspeccionar,
copiar, y/o fotografiar cualquier y todo de los siguientes documentos:

1. Any and all medical records, including but not limited to office and hospital records, laboratory results, diagnostic reports and films,
psychiatric records, medical correspondences, doctor’s and nurse’s notes, and medical histories relevant to my workers’ compensation
claim. I also hereby give permission to Berkshire Hathaway Homestate Company representatives to contact the attending physicians
involved in the treatment of all related conditions.

Cualquier y todo expediente médico, incluyendo pero no limitado, a los expedientes de la oficina y hospitales, resultados de
laboratorios y filminas, expedientes psiquiátricos, correspondencia médica, notas de los doctores y enfermeros(as), e historiales
médicos relevantes a mi reclamo de compensación de trabajadores. También, por este medio le doy permiso a los representantes de
Berkshire Hathaway Homestate Company para comunicarse con el médico tratante envuelto en el tratamiento de todas las condiciones
relacionadas.

2. All employment and human resource information including but not limited to: hiring and employment records, payroll and income
statements, documentation related to this or any other relevant injury and any other information pertinent to providing benefits and
services necessary for the completion of this claim.

Toda información del empleo y de recursos humanos, incluyendo pero no limitado a: expedientes de contratación y empleo,
declaraciones de nómina e ingresos, documentación relacionada a esta o cualquier otra lesión relevante, y cualquier otra información
pertinente que provea los beneficios y servicios necesarios para completar este reclamo.

The released information is required for the following reasons:

La información liberada es requerida por las siguientes razones:

1. To provide for adequate preparation, investigation, evaluation, review, and discovery of a claim for workers’
compensation benefits. Specifically, to determine the causation and the nature and extent of any possible pre-existing,
concurrent or aggravating medical conditions with potential medical, legal, or factual implications in the this work-related
injury or injuries.

Para proporcionar una preparación, investigación, evaluación, revisión, y descubrimiento adecuado del reclamo de
beneficios de compensación de trabajadores. Específicamente, para determinar la causa y la naturaleza y extensión de
cualquier posible condición médica pre-existente, concurrente o agravante con potencial médico, legal, o implicaciones
fácticas en esta lesión o lesiones relacionadas al trabajo.

2. To provide the treating physician, consultant or evaluator with medical information necessary to provide you with the best
possible medical care and medical advice.

Para proporcionar al médico tratante, consultor, o evaluador con la información médica necesaria para proporcionarle el
mejor cuidado médico posible y consejería médica.

(CONTINUED ON PAGE 2)
(CONTINÚA EN LA PÁGINA 2)

BERKSHIRE HATHAW AY HOMESTATE INSURANCE COMPANY ● BROOKWOOD INSURANCE COMPANY ● CONTINENTAL DIVIDE INSURANCE COMPANY
CYPRESS INSURANCE COMPANY ● OAK RIVER INSURANCE COMPANY ● REDW OOD FIRE AND CASUALTY INSURANCE COMPANY

$UserLastFirstName$
www.bhhc.com $ClaimNumber$
 P.O. BOX 881716 • SAN FRANCISCO CA 94188 • TOLL FREE: (800) 661-6029 • FAX: (415) 675-5469

AUTHORIZATION FOR THE RELEASE OF INFORMATION (PAGE 2)

AUTORIZACIÓN PARA LA LIBERACIÓN DE INFORMACIÓN (PÁGINA 2)

Claim Number / Número de Reclamo Date of Injury / Fecha de la Lesión

Employee / Empleado Date of Birth / Fecha de Nacimiento

3. To facilitate recovery of all benefits paid toward your workers’ compensation claim from any third party responsible for
this injury.

Para facilitar la recuperación de todos los beneficios pagados por su reclamo de compensación de trabajadores de
cualquier tercer parte responsable de esta lesión.

4. To ensure that you are accurately compensated for any amount of lost wages, time or resources while undergoing
evaluation, treatment and recovery for this injury.

Para asegurar que usted se encuentra compensado correctamente por cualquier cantidad de salarios, tiempo, o recursos
perdidos mientras se somete a la evaluación, tratamiento, y recuperación de esta lesión.

5. To obtain any information necessary to appropriately determine further actions as a result of the injury or condition and
to prevent further issues for you and other employees.

Para obtener cualquier información necesaria para determinar apropiadamente acciones adicionales como resultado de la
lesión o condición, y para prevenir problemas adicionales para usted y otros empleados.

This consent and authorization is effective immediately, and is subject to revocation by the undersigned at any time except to
the extent that action has been taken in reliance hereon, and if not earlier revoked, it shall terminate on conclusion of the claim
without express revocation.
Este consentimiento y autorización es efectivo inmediatamente, y está sujeto a la revocación del abajo firmante en cualquier
momento excepto a la extensión en que se hayan tomado acciones en dependencia con esto de aquí en adelante, y si no es
revocado anteriormente, terminará con la conclusión del reclamo si no se presenta una revocación expresa.
A copy or fax is as valid as the original.
Una copia o fax es tan válida como el original.
-

(Names, addresses, and phone numbers of providers) (Nombres, direcciones, y números de teléfonos de los proveedores)

I have read this authorization and fully understand its entire contents. I have asked questions about anything that was not clear
to me and I am satisfied with the answers I have received. I understand that I have a right to receive a copy of this
authorization upon my request.

He leído esta autorización y entendido completamente su contenido en su totalidad. He hecho preguntas sobre todo lo que no
estaba claro para mí y estoy satisfecho con las contestaciones que he recibido. Yo entiendo que tengo derecho a recibir una
copia de esta autorización una vez lo solicite.

Signed / Date /
Firma Fecha

BERKSHIRE HATHAW AY HOMESTATE INSURANCE COMPANY ● BROOKWOOD INSURANCE COMPANY ● CONTINENTAL DIVIDE INSURANCE COMPANY
CYPRESS INSURANCE COMPANY ● OAK RIVER INSURANCE COMPANY ● REDW OOD FIRE AND CASUALTY INSURANCE COMPANY

$UserLastFirstName$
www.bhhc.com $ClaimNumber$
 P.O. BOX 881716 • SAN FRANCISCO CA 94188 • TOLL FREE: (800) 661-6029 • FAX: (415) 675-5469

MEDICAL HISTORY REQUEST

Employee Name: Date of Injury:
Employer Name: Completion Date:

Please complete this form by providing your medical history for the past 5 years. This will help ensure that we are able to provide all of your
medical records to your current treating physician for you to receive the proper care for your work injury.

Thank you for your cooperation.

Past Injuries, Disabilities, or Other Medical Conditions

Hospitalizations
HOSPITAL NAME, ADDRESS AND PHONE DATES ADMITTED

Treating Physicians or Groups

DOCTOR OR GROUP NAME, ADDRESS AND PHONE DATES OF TREATMENT

BERKS HIR E HATHAW AY HO MES TATE I NS UR ANC E CO MP ANY ● BR OOKW OOD I NS UR ANCE C OM P ANY ● C O NTI NE NTAL DI VI DE I NS UR ANCE C OMP ANY
CYPRESS I NS UR ANCE CO MP ANY ● O AK RI VER I NS UR ANCE C OMP ANY ● REDW OOD FI RE AND C AS UAL TY I NS UR ANC E CO MP ANY
 EMPLOYEE’S ACCIDENT REPORT
To be completed by the injured worker

Employee name
Employer name

Date of accident
Time of accident
Time you began work on day of accident
Location of accident (specify if off-site address)

How did the injury occur? What job duties were you performing? Please describe in your own words.

What part(s) of your body was injured (indicating right and/or left)?

Have you sought any medical treatment for these injuries? If so, specify where and when.

Have you ever injured this part of your body before (yes or no)? If so, please describe how and when the
previous injury(s) occurred.

What witnesses were present when the accident occurred? Please provide names if applicable.

Who did you report the injury to? When was the injury reported? Please provide name(s) and job title(s).

What did you do after the accident occurred?

The above report is true and correct:

SIGNATURE: DATE FORM COMPLETED:
 SUPERVISOR’S REPORT OF EMPLOYEE ACCIDENT
Employee name
Employer name

Date of accident
Time of accident
Date accident reported
Did the employee report the accident immediately? YES NO
Location of accident (specify if off-site address)

How did the injury occur? What job duties was the employee performing?

What part(s) of the employee’s body were reported as injured?

Has the employee sought any medical treatment for these injuries? If so, specify where and when.

What witnesses were present when the accident occurred (including self)?

Do you have any reason to question the legitimacy of the accident? If so, please explain:

Indicate working conditions present that led to accident (please check all that apply):
Unused/unavailable lifting equipment Wet/slippery floor
Unused/unavailable PPE (gloves, hardhat, goggles, etc.) Poor housekeeping
Unused/unavailable sharps container Interaction with co-worker
Unguarded or improperly guarded equipment Interaction with patient or resident
Electrical exposure Interaction with customer
Obstructed view Chemical exposure
Lack of training Motor vehicle accident
Defective tools or equipment Other: __________________________

What changes could be made to eliminate or reduce the hazard(s) identified above?

The above report is true and correct:

Prepared by: Title: Date prepared:
 WITNESS’ REPORT/STATEMENT OF EMPLOYEE ACCIDENT
Employee name
Witness name & phone number
Witness Address

Date of accident
Time of accident
Location of accident (specify if off-site address)

Did you witness the above-reported accident? If so, how did the injury occur? What job duties was the
employee performing?

What part(s) of the employee’s body were injured? Describe the type of injury (strain, bruise, etc.)

What did the injured employee say at the time of injury? Did the injured employee complain of pain at the
time of injury? If they complained of pain, please specify the body part(s).

What did the employee do after the accident occurred?

Were any other witnesses present at the time of the accident? If so, please list them below.

The above report is true and correct:

Signature of witness: Date signed:

NOTE: Willfully making a false statement for the purpose of obtaining or denying benefits is a crime
subject to penalties.
Workers’ Compensation Temporary Prescription ID Card

To the Injured Worker:

On your first visit, please give this notice to any Express Scripts
pharmacy listed on the back side to speed the processing ID#: _____________________________________
Your SSN is your temporary ID number; present to the pharmacy at the time
of your approved workers’ compensation prescriptions.
prescription is filled. You will receive a new ID number shortly.
Questions or need assistance locating a participating retail
Date of Injury: _______ / _______ / _______
network pharmacy? Call the Express Scripts Patient Care
MM/DD/YYYY
Contact Center at 800.945.5951.
G3YA
Group #:
Atención Trabajador Lesionado:
En su primera visita, por favor entregue esta notificación a
cualquier farmacia enumerada al reverso para acelerar el Employee Date of Birth: _______ / _______ / _______

procesamiento de sus recetas aprobadas de compensación

para trabajadores (según las pautas establecidas por su
empleador).

Si tiene cualquier duda o necesita ayuda para localizar una Thank you for using a participating retail network
farmacia de venta al por menor participante de la red, por pharmacy. Even though there is no direct cost to you, it’s
favor llame al Centro de Contacto para Atención a Clientes important that we all do our part to help control the
rising cost of healthcare.
de Express Scripts, al 800.945.5951.
Please see other side for a list of participating retail
network pharmacies.

To the Pharmacist:
Express Scripts administers this workers’ compensation To the Supervisor: Please fill in the
prescription program. Please follow the steps below to
submit a claim. Standard first fill shall not exceed a 14-day information requested for the injured worker.
supply or a cost of $150. This form is valid for up to 30 days
from date of injury (DOI). Limitations may vary. For
assistance, call Express Scripts at 888.786.9640.
Employee Information
Pharmacy Processing Steps
Step 1: Enter BIN number 003858 ________________ ______ _________________________
First M Last
Step 2: Enter processor control WC
_______________________________________________
Step 3: Enter the group number as it appears above Street Address or PO Box
___________________ __________________ __________
Step 4: Enter the injured worker’s nine-digit ID number City State ZIP

Step 5: Enter the injured worker’s first and last name

Step 6: Enter the injured worker’s date of injury
Employer Name

________________________________________________

© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company. All Rights Reserved. CRP1806_0245 EME46657 OT48016O
 Participating Retail Network Pharmacies

A&P Drug Emporium Longs Drug Store Sav-On

Acme Pharmacy Drug Fair Major Value Save Mart
Albertson’s Drug Town Marsh Drugs Schnucks
Albertson’s/Acme Drug World Medic Discount Scolari’s
Albertson’s/Osco Eckerd Medicap Sedano
Albertson’s/Sav-On Econofoods Medistat Shaw’s
Amerisource Bergen EPIC Pharmacy Meijer Shop ‘N Save
Anchor Pharmacies Network Minyard Shopko
Arrow FamilyMeds NCS HealthCare ShopRite
Aurora Farm Fresh Neighborcare Snyder
Bartell Drugs Farmer Jack Network Stop & Shop
Bigg’s Food City Pharmaceuticals Sun Mart
Bi-Lo Food Lion Northeast Pharmacy Super Fresh
Bi-Mart Fred’s Services Super Rx
BJ’s Wholesale Club Gemmel Osco Target
Brooks Giant P & C Food Markets Texas Oncology Srvs
Brookshire Brothers Giant Eagle Pamida The Pharm
Brookshire Grocery Giant Foods Park Nicollet Thrifty White
Bruno Hannaford Pathmark Times
Carrs Harris Teeter Pavilions Tom Thumb
Cash Wise H-E-B Price Chopper Tops
Coborn’s Hi-School Pharmacy Publix Ukrop’s
Costco Hy-Vee Quality Markets United Drugs
Cub Jewel/Osco Raley’s United Supermarkets
CVS Kash n Karry Randalls Vons
D&W Keltsch Rite Aid Waldbaums
Dahl’s Kerr Rosauers Walgreens
Dierbergs Kmart Rx Express Walmart
Discount Drugmart Knight Drugs RXD Wegmans
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 $1000 Reward!
For information leading to the arrest and conviction of
any co-worker, health care professional, or attorney representing
a fraudulent workers compensation claim to
Berkshire Hathaway Homestate Companies (BHHC)*

In most states, it is a felony to make or cause to be made a knowingly false or fraudulent

material statement in order to obtain workers compensation benefits. BHHC believes that
any party engaging in such fraud should be prosecuted to the fullest extent of the law,
including jail sentences.

Please do your part to help! Putting criminals out of operation benefits all of us, including
keeping your employer’s premium rates reasonable.

Call our toll-free fraud hotline immediately if you have information on

a fraudulent claim:

1 (800) 300-JAIL

BHHC Workers Compensation Division • Representing Financial Strength & Integrity

*Maximum reward of $1,000 per conviction. In the event that more than one individual submits information regarding the same fraudulent claim, BHHC will equally
divide the reward among those providing information used in obtaining the conviction. BHHC reserves the right to determine what information, if any, will be provided
to the appropriate law enforcement agency. Criminal prosecutions are the sole responsibility of the authorities and may or may not be pursued at their discretion. Any
issues regarding the intrepretation of this policy shall be resolved by BHHC at their sole discretion. Program subject to change or termination without prior notice.
 $1000 RECOMPENSA!
INFORMACIÓN QUE LLEVA AL ARRESTO Y A LA CONDENA DE CUALQUIER COMPAÑERO
DE TRABAJO, PROFESIONAL DE CUIDADO MEDICO, O ABOGADO QUE REPRESENTE UN
RECLAMO FRAUDULENTO EN CONTRA DE
BERKSHIRE HATHAWAY HOMESTATE COMPANIES*

En la mayoría de los estados es un delito grave hacer que haga una declaración de
material fraudulento para obtener beneficios de Compensación al Trabajador. Berkshire
Hathaway Homestate Companies cree que cualquier persona que se involucre en tal
fraude debe ser procesado con todo el rigor de la ley, incluyendo
SER SENTENCIADO A LA CARCEL.

Ayúdenos de su parte. El poner a estos delincuentes fuera de operaciones nos beneficia a

todos, incluso esto ayuda a mantener los réditos bajos de la aseguranza de su empleador.

Si usted tiene información sobre un reclamo fraudulento por favor

llame de inmediato a nuestra LINEA GRATUITA DE FRAUDE.

(800) 300-JAIL

BHHC Workers Compensation Division • Representing Financial Strength & Integrity

*La recompensa máxima es de $1,000 por convicción. En caso de que más de una persona presente informaciones sobre la misma demando fraudulenta. Berkshire
Hathaway dividirá la recompensa por partes iguales entre aquellas persones que aportaron informaciones para obtener la convicción. Berkshire Hathaway se reserva el
derecho de determinar qué informacion presentará a la agencia judicial correspondiente. El proceso de crímenes es la responsibilidad exclusiva de las autoridades, que
pueden decidir si el proceso debe entablarse or no. Cualquier disputa que pudiera surgir en la interpretación de esta ofreta será resuelta por la propia Compañia de
Seguros Berkshire Hathaway. Este programa está sujeto a cambios a cancelación sin aviso previo.