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At Workers Compensation Shop.com, we provide free access to most of the forms relating to Minnesota Workers' Compensation Insurance. We strive to keep these forms up to date and accurate. It is always a good idea to check with the state website to ensure you are using the most up to date form. We want to be your resource for workers comp forms, application, rates and quotes
If you have any questions about any of these forms, feel free to contact a Workers Comp Specialist at 888-611-7467. Our agents specialize in work comp and they know the process inside and out.
If you are ready you can start a quote online today.
The standard Acord 130 application form for workers comp coverage in Minnesota.
MN First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.
Owners and officers of corporations should complete this form to exclude themselves from a work comp policy.
Owners and officers of corporations should complete this form to elect or exclude themselves and/or their family from a work comp policy.
Complete this form if you are an independent contractor and would like to be exempt from coverage.
Required form to verify workers' compensation insurance.
Information about workers compensation in Minnesota for employers.
State Resources for Minnesota
Minnesota Workers' Compensation Insurers Association, Inc.
7701 France Ave. South, Suite 450 Minneapolis, MN 55435-3200952-897-1737 http://www.mwcia.org/
Minnesota Labor and Industry
Workers Compensation Division443 Lafayette RoadSt. Paul, MN 551551-800-342-5354 http://www.dli.mn.gov/wc/contact.asp
Workers compensation insurance is required by law for Minnesota employers.
Minnesota forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Minnesota.
We work with over 35 workers comp insurance companies across the U.S to shop your
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With dozens of Pay As You Go and easy installment plans to choose from, you get more
flexible options for your business.
We've developed Target Programs with our insurance companies to help find you the
right insurance product with lower rates.