Workers’ compensation review

Send what you have.

Tell us what happened. Add the files you have. A person will review them and tell you what is missing.

Employers, retail agents, and wholesalers can send a partial file or ask a question. You can keep your agent involved.

Insurance agent and employer organizing a workers' compensation submission together

Retail agents and wholesalers can send an account before partner paperwork is complete. Required relationship and appointment steps still apply before binding.

Opportunity intake

Who are you?

How would you like to start? Submit account information or documents Ask a question or request a conversation

What happened?

Start with what you know. You can leave the date blank.

What happened?Are people working now?What is the date for?Date, if known

Use the coverage date, not the day the letter arrived. Cancellation and nonrenewal are different events.

LookingCoverage end date not given · Work status not givenThe event and timing still need clarification.Confirm the coverage end or required start date when available. Confirm whether work is continuing, paused, or has not started.

This describes the timing you reported. It does not promise a response time or coverage.

What coverage should the review include?

Workers' compensation stays WorkComp Finder's primary focus. Trucking commercial auto and motor-truck cargo remain separate motor-carrier requests. Every adjacent line is routed for human review.

Workers' compensation Trucking commercial auto For motor-carrier operations Motor-truck cargo Optional trucking companion request

Your nameBusiness emailBusiness phone

Company nameEmployer street addressCityBusiness address stateZIP code

USDOT number, if applicableTell us what happened

Account details Optional

All fields are optional. Add as much as you have available.

Primary work stateThe state where the work is performed; it may differ from the mailing address.Business activity or class-code searchChoose a close activity or describe the work. These activity suggestions do not assign a class code.Workers' comp class code(s), if knownKeep any leading zeros. Codes will be reviewed, not automatically accepted or rejected.Employee countEstimated annual payrollExperience modCoverage gap (months)Expiring annual workers' comp premium ($)The annual cost of the policy ending or most recently ended. Leave blank if unknown or this is a new business.

Loss history Optional · up to three years

Year 1Year or policy periodPayrollPremiumIncurred lossesClaim count

Year 2Year or policy periodPayrollPremiumIncurred lossesClaim count

Year 3Year or policy periodPayrollPremiumIncurred lossesClaim count

Add files, if you have them

Missing files do not stop you from sending. You can add them later.

PDF, Word, Excel, CSV, JPG, or PNG; 25 MB per file. Files are stored privately and safety-checked before a person reviews them.

No files selected

ACORD 130Not addedLoss runsNot addedSupplemental applicationNot addedExperience-mod worksheetNot addedNotice, declarations page, or other fileNot added

Selected files still need to be sent and checked. This list does not confirm that the account is ready for underwriting.

I am authorized to provide this account information and these documents for FastechHR review. I agree to receive email about this specific opportunity. This does not enroll me in unrelated marketing.

Guidance is not approval, pricing, coverage, or a promise to bind.

What happens after I send?

After you press send

What happens after you press send

Your information is stored privately, checked, and reviewed by a person. We keep the retail and wholesale relationships you identify connected to the opportunity.

1
Received
You receive a reference number and your files are stored privately.
2
Checked
We make sure the files can be opened safely.
3
Reviewed by a person
A person reviews the account, the timing, what is complete, and who should stay involved.
4
Next step identified
We may ask for missing information or connect the appropriate retail, wholesale, or FastechHR conversation.
5
Update sent
We use the contact information you supplied to keep you informed about this opportunity.

Motor carrier owner?

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The entire report experience and PDF download stay on WorkCompFinder.com.