Assignment of Securities Sample Contracts

RECITALS
Assignment of Securities • August 8th, 2000 • Hicks Thomas O • Telephone communications (no radiotelephone) • New York
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ASSIGNMENT OF SECURITIES
Assignment of Securities • June 21st, 2002

This ASSIGNMENT is to secure the payment of those benefits provided by Chapter 440, Florida Statutes, to the employees of (name of self-insurer). The assigned securities shall be promptly released to the Division of Workers' Compensation, upon certification by the Director of the Division of Workers' Compensation that (name of self-insurer) has ceased to make the payment of benefits required by Chapter 440. The Division may direct that payment be made to the Florida Self-Insurers Guaranty Association, Inc. or to the Division of Workers' Compensation.

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