AB 2883 Waivers Waiver of workers' compensation coverage. For officers or directors owning at least 15 percent of the issued and outstanding company stock.
Agriculture Supplemental Application Agriculture supplemental application. Intended for crops and packing operations.
Alaska Artisan Contractors Supplemental Application Supplemental application for Alaskan artisan contractors.
Automotive Supplemental Application Automotive repair, dealers, supply, supplemental workers’ compensation application.
California Condo Supplemental Application California condo/co-op apartment safety association worker's compensation supplemental application.
Clothing Manufacturer Supplemental Application Supplemental Underwriting questionnaire for clothing manufacturing.
Cocktail Lounge Supplemental Application Cocktail Lounge program. Supplemental underwriting questionnaire.
Direct Deposit of Commissions - Electronic Authorization This form is required if you would like commissions deposited directly into your bank account.
Group Transportation Exposure Questionnaire - fillable Questionnaire for group transportation. A fillable PDF document.
Property Management Supplemental Application Requests information about payroll data, loss experience, type of property, and employees' responsibilities.
Research and Development Supplemental Application Supplemental application for research and development.
Residential Living Centers Supplemental Application Supplemental application for residential living centers.
SB 189 Instructions Page Instructions on SB 189 for changes applicable to New and Renewal Policies effective on or after July 1, 2018.
SB 189 Waiver form - Cooperative Corporation Officer or Board Member Cooperative Corporation Officer or Board Member - waiver of Calif. WC coverage.
SB 189 Waiver form - Corporate Officer or Member of Board of Directors Corporate officer or member of Board of Directors waiver form.
SB 189 Waiver form - General Partners and Limited Liability Company Managing Members General managers and limited Liability Company Managing Members waiver of Calif. WC coverage.
SB 189 Waiver form - Owner of Professional Corporation Owner of professional corporation waiver of Calif. WC coverage.
SB 189 Waiver form - Trustee With The Power to Revoke General Partnership Trustee with the power to revoke general partnership interests held in trust - waiver of Calif. WC coverage.
Utah Artisan Contractors Supplemental Application State of Utah. Supplemental application for artisan contractors.