Bureau Request Form - Request employer specific information such as rating or experience modification data or five-year premium and loss exhibit, etc.
Business Operations Report - Insureds use to provide self inspection business operation details
*NEW* Carrier Support Request - For carriers to request one-on-one problem resolutions
Employer 'FindMyMod' Access Request - Misplaced your Employers Experience Rating access instruction letter? Request WCRB to resend.
ERM-6 (12/7/04) - Self-insureds use to submit experience rating data
Information Release Authorization Form - IRAF (5/9/06) - Allows insureds to authorize WCRB to release information to a designated entity
Inspection Request - Request an on-site operational review of the insured’s business
Pool Payroll Report - Pool policy holders create a Pool Payroll Report