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Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

N/A  Monopolistic State.

Direct Bill Work Comp

N/A  Monopolistic State.

Pay As You Go General Liability

Contractor and service risks acceptable:  low, medium, and high.

Commercial Packages- 12 Equal Installs

Non-construction risks only.

Workers Compensation Information:

 Owners Wages for Workers' Compensation

Individuals and Partners

LLC Members

Corporate Officers: Corporations

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

Corporate Officers & LLC Members

WA Resources & Links:

 WA Workers Compensation Forms:

State of Washington

http://access.wa.gov/

Department of Labor and Industries

http://www.lni.wa.gov/

Labor and Industries Building
Post Office Box 44001
Olympia, Washington 98504-4001
(800) 547-8367, (360) 902-4200, Fax: (360) 902-4202
 

Workers’ Comp Claims

http://www.lni.wa.gov/ClaimsIns/Claims/default.asp

Board of Industrial Insurance Appeals

http://www.biia.wa.gov/

Street Address:
2430 Chandler Court, SW
Olympia, Washington 98504-2401
 

Mailing Address:
Post Office Box 42401
Olympia, Washington 98504-2401
(800) 442-0447, (360) 753-9646, Fax: (360) 586-5611

Acord 130 Form

Certificate Request Form

ERM-14 Form

Order Loss Runs (Example)

NCCI Mod Authorization

* Information contained herein is based on the most accurate data as of the time of posting.  Please check with you states Division of Workers' Compensation Insurance for the most up to date information and to verify accuracy.