Worker's Compensation

Woker's Compensation

Workers Compensation Insurance is a California mandated coverage that protects you, as an employer, against injuries to your work force. In the event of injury, the coverage will pay statutorily determined benefits for medical expenses, lost wages, and permanent disability compensation. It protects employees who are injured on the job.
Please call one of our trained agents for more details.

Name of Insured(*)
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Corp Name or DBA(*)
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Effective Date
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Business Information

Mailing Address(*)
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Physical Address(*)
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Nature of Business(*)
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Years in Business
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FEIN(*)
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No. of Full Time(*)
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No. of Part Time(*)
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Estimated Payroll(*)
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Class Code(*)
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Owner's Information

Name(*)
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Email Address(*)
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Date of Birth
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Address(*)
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