BusinessInformation

To get an accurate workers’ comp quote, you’ll need information about:

Your registered business.
What your business does.
What jobs your employees do.
Annual payroll for each type of job.

If you’ve had workers’ comp before, you'll also need to provide the number of claims you've had, if any.

We want to make this easy for you, so if you have questions, give us a call at 888.598.5880 or chat with us.
Si necesita ayuda en español, llame al 877.598.5733

Tell us about your business.

Registered business name

Registered business address

Business address line 2

City

State

Zip

Do you have a mailing address that is different from your business location?

YesNo

When do you want your policy to start?

Business phone

Business email

How many claims has your business had in the past five years?

Do you need owner coverage?

YesNo

What is your nine-digit Federal Employer Identification Number?

I have applied for a FEIN for my business, but have not received it.

Were you referred to this site by your insurance agent?

YesNo