The Pool Payroll Report assists the Pool servicing insurance carriers in accurately tracking estimated policy payroll exposures for businesses which may inherently be subject to fluctuations in wages.

If incomplete or insufficient information is provided, WCRB will use the contact information provided to obtain additional information.

  • All of the contact information is required, with the exception of the Title and Telephone Ext.
  • Policy number should be entered without any special characters (i.e. dashes) or spaces.
  • Complete the contact information, then click the "Create Payroll Report" button.
  • Enter the Class Code/Payroll Information, then click the "Validate and Submit Class Code/Payroll Information" button.
  • If you have any questions regarding this process, please contact WCRB at 262-796-4586.

Contact Information

NAME TITLE
TELEPHONE () - TELEPHONE EXT
EMAIL VERIFY EMAIL
EMPLOYER NAME EMPLOYER ADDRESS
EMPLOYER CITY EMPLOYER STATE
  EMPLOYER ZIP
INSURANCE CARRIER
POLICY NUMBER POLICY EFFECTIVE DATE
COVERAGE ID
REPORTING PERIOD START REPORTING PERIOD END