Workers Compensation

Workers Comp Forms for MN

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Minnesota Workers Comp Forms

Find Minnesota workers' compensation forms and employers help guides.

At Workers Compensation, 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.

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MN Acord 130 Workers' Compensation Application

The standard Acord 130 application form for workers comp coverage in Minnesota.

Minnesota First Report of Injury Form

MN First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

Minnesota Application for Exclusion of Officers and Stockholders

Owners and officers of corporations should complete this form to exclude themselves from a work comp policy.

Minnesota Application for Election/Rejection of Coverage

Owners and officers of corporations should complete this form to elect or exclude themselves and/or their family from a work comp policy.

Minnesota Application for Exemption for Workers' Compensation Insurance

Complete this form if you are an independent contractor and would like to be exempt from coverage.

Minnesota Certificate of Compliance

Required form to verify workers' compensation insurance.

Facts for Injured Workers In Minnesota

Information about workers compensation in Minnesota for employers.

PayGo and Pay by Pay workmans compensation

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Minnesota Notice Requirement

Minnesota Workers Compensation Benefits Poster - English

Employers must tell their employees that they carry workers’ compensation insurance by providing a written notice of coverage to new employees upon hire. Employers must also post a written notice at their place of business telling their employees that they carry workers’ compensation insurance.The notice must be in English, Spanish, and any other language that is common to the employees and must be posted at conspicuous locations at the employers’ place of business.

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State Resources for Minnesota

Minnesota Workers' Compensation Insurers Association, Inc.

7701 France Ave. South, Suite 450
Minneapolis, MN 55435-3200

Minnesota Labor and Industry

Workers Compensation Division
443 Lafayette Road
St. Paul, MN 55155

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.

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Find Affordable Workers Comp Programs in Your State

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We work with over 35 workers comp insurance companies across the U.S to shop your insurance coverage for the best price.

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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.

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We've developed Target Programs with our insurance companies to help find you the right insurance product with lower rates.

Learn more about workers compensation insurance in Minnesota Work Comp:   Minnesota | MN Programs| MN Rates | MN Forms | MN Info | MN Quotes
Workers Compensation Agents Tough Class Codes.

We help Minnesota Employers with hard to place workers' compensation class codes by partnering with a diverse line-up of insurance carriers. With this diverse lineup, we are able to shop your work comp coverage around several carriers instead of just a select few. This is how we can find the best coverage at the right price no matter your industry.

Give one of our Minnesota workers compensation specialists a call today at 888-611-7467 for a free, no-obligation quote on workers compensation insurance.

Minnesota Agency License: 40204481
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Contact a Minnesota Workmans Comp Specialist