Workers' compensation resource

Complete workers' comp submission checklist

The short answer

The strongest initial package combines contact and authority details, Acord 130, loss runs, applicable supplemental, and experience-mod worksheet. A partial package can still start review when missing items are identified honestly.

Use this in practice

  • Named contact and submitting persona
  • Requested effective date and deadline
  • Acord 130 or equivalent online answers
  • Currently valued loss runs for available years
  • Industry or program supplemental
  • Current experience-mod worksheet when one exists

What it means for you

Employer: Send what you have and identify who can answer follow-up questions.

Retailer: You can submit before contracting where the approved pathway permits it.

Wholesaler: Attach branch, contact, and retailer attribution to the opportunity.

Related workers' comp problems

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