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ACORD 135: Why the State Suffix Matters

ACORD 135 is not one countrywide form. Learn how ACORD 135 NC and ACORD 135 NJ serve different workers compensation plan purposes.

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By Menlo Insurance Services

There is no single countrywide ACORD 135 in the May 2024 ACORD Forms Index. ACORD 135 NC is a North Carolina Workers Compensation Insurance Plan application. ACORD 135 NJ is a New Jersey employee-leasing supplemental request. The state suffix is part of the form number and cannot be omitted when choosing or explaining the document.

What is ACORD 135 NC?

The index identifies ACORD 135 NC as the North Carolina Workers Compensation Insurance Plan application and lists a 2024/04 edition. It also lists ACORD 136 NC as the instructions for completing that application.[1] An employer and producer should use those current instructions for eligibility, supporting information, signatures, and submission.

What is ACORD 135 NJ?

New Jersey's Compensation Rating and Inspection Bureau identifies ACORD 135 NJ as the Workers Compensation Insurance Plan Employee Leasing Supplemental Request Form.[2] It is not the same as the North Carolina plan application. The New Jersey page also lists separate plan forms for coverage requests, proprietors and partners, and truckers.

How should you identify the right form?

Read the form number, state suffix, title, and edition together. Confirm the employer's state and the plan administrator handling the application. If a checklist says only “ACORD 135,” ask the requester which state form and edition it means before collecting or sending information.

Does either form bind coverage?

No. These are application or supplemental request documents. Coverage depends on plan eligibility and acceptance and on the policy or binder issued by the assigned carrier. Submitting the wrong state form can delay the process.

Frequently asked questions

What does ACORD 135 mean without a state code?

It is incomplete for practical use. Current indexed forms use a state suffix, so identify the state before selecting the document.

Is ACORD 135 the standard assigned-risk supplement?

The countrywide assigned-risk section is ACORD 133. ACORD 135 NC is a North Carolina plan application, while ACORD 135 NJ addresses employee leasing.

The Bottom Line

Treat “ACORD 135” as an incomplete reference. Resolve the state suffix and title first, then follow the current state plan instructions.

This guide is educational and describes indexed ACORD 135 state forms in original language. Menlo Insurance Services is not affiliated with ACORD Corporation. The plan and insurer documents control.

References

  1. 1.ACORD. ACORD Forms Index, revision 5/08/2024.” Accessed September 2026. https://acords.com/pdf/ACORD_Forms_Index.pdf
  2. 2.New Jersey Compensation Rating and Inspection Bureau. Forms and Endorsements.” Accessed September 2026. https://www.njcrib.com/DocumentLibrary/FormsAndEndorsements
  3. 3.ACORD. Forms Portal.” Accessed September 2026. https://formsportal.acord.org/Home

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