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New Jersey Free Printable Labor Law Posters Posters New Jersey Workers Compensation Insurance Notice Poster Required

 Workers Compensation Insurance Notice  PDF

The Workers Compensation Insurance Notice is a labor law posters poster by the New Jersey Department Of Labor and Workforce Development. This is a mandatory posting for all employers in New Jersey, and businesses who fail to comply may be subject to fines or sanctions.

Form 16 NJ A, a standard form provided by the NJ Commissioner of Insurance, is required to be posted by all New Jersey employers as proof that they have secured mandatory Worker's Compensation insurance.

A completed copy of this form will usually be provided to the employer by their insurance company, and must be posted prominently in the workplace. This template can be used as a replacement notice, and must be filled out with the employer's current Worker's Comp policy information.


NJ All-In-One Labor Poster: Instead of printing out dozens of posters, employers can also purchase an all-in-one poster that covers both New Jersey and Federal poster requirements by clicking here .

Form 16 NJ A	
POSTING NOTICE
The law requires every insured employer to post and maintain
notices naming the company insuring its compensation liability “in
a conspicuous place or places in and about the employer’s place of
business.” The form of notice is prescribed by the Commissioner of
Insurance and shall be clearly printed on a minimum of 90# index,
8½" by 11" in size. The content and arrangement of items must be
consistent with the layout shown below. In accordance with 3:2-1 a
duplicate filing must be made before the form is placed in use. 
NOTICE
The undersigned employer hereby gives notice that the pay-
ment of compensation to employees and their dependents has
been secured in accordance with the provisions of the Employ-
er’s Liability Insurance Law, Title 34, Chapter 15, Article 5,
Revised Statutes New Jersey, by insuring with the 
(  ) Insurance Company 
for the period
Beginning ................ Ending ...................
Employer ...........................................
In accordance with the above cited law, notice of compliance
must be posted and maintained conspicuously in and about
the employer’s workplaces.	
Form 16 NJ A

Form 17 NJ 	
 	
AVISO 	
 
El patron avisa que ha asegurado el pago de compensación a los empleados y sus 
dependientes, de acuerdo con lo provisto por la ley de responsabilidad de los 
patrones de seguro para sus empleados.  Titulo 34, Capitulo 15, Articulo 5, revision 
de estatutos del Estado de New Jersey, asegurandolos con.  
 
(   ) Compañia de Seguro  
 
por el periodo 
 
Comenzando .................................. Terminando ................................................  
Patron ..................................................................................................................  
 
De acuerdo con la ley mencionada arriba, esta noticia debe ser colocada y 
mantenida en un lugar visible en todos los lugares de trabajo. 
 
Form 17NJ

Other New Jersey Labor Law Posters 4 PDFS

There are an additional twenty optional and mandatory New Jersey labor law posters that may be relevant to your business. Be sure to also print all relevant state labor law posters, as well as all mandatory federal labor law posters.


View all 21 New Jersey labor law posters


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Instead of printing out pages of mandatory New Jersey and Federal labor law posters, you can purchase a professional, laminated all-in-one labor law poster that guarantees compliance with all New Jersey and federal posting requirements. Fully updated for 2025!

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Disclaimer:

While we do our best to keep our list of New Jersey labor law posters up to date and complete, we cannot be held liable for errors or omissions. Is the poster on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By LaborPosters.org **
Source: http://www.laborposters.org/new-jersey/3955-workers-compensation-notice-poster.htm