Business & Workers’ Comp Info

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In Detail : What will employees be doing

Owner/Partner/Officer Info

All current co-owners of the business must be listed

Payroll Information

Once quoted your premium will be based on the projected payroll figures provided. You may wish to be conservative in your payroll projections as once the policy is bound the payroll projections may not be amended. All policies will be audited at expiration.

Required to quote with the most of insurance companies

By clicking Submit, I understand that NO COVERAGE IS BOUND until confirmed IN WRITING BY OUR AGENCY. Please be certain to forward current loss runs (claims history) if required. Questions? – please call us at (800) 750-2663.