Carrier Support Request

WCRB is committed to supporting Carriers through one-on-one problem resolution. Please submit this support request to coordinate assistance with topics such as NTCs, USRs, Fining, Enhancement requests, Member Product Demonstrations, Financial Calls or other Wisconsin workers compensation related topics.

WCRB will respond to your request within 3 business days.

Contact manage.policy@wcrb.org or by phone at (262) 796-4596 for questions regarding this form.

Carrier ID (NCCI #):

Carrier Name:

Contact Name: Contact name required

Contact Title:

Contact E-mail Address: Invalid e-mail address E-mail required

Contact Phone: () - Phone area code required Valid area code required Phone prefix required Valid prefix required Phone suffix required Valid suffix required

Preferred Contact Method: Contact Method required

Request Type: Request Type required

Detailed description of your request (When applicable please provide policy# and effective date or letter ID and preferred dates/times to contact you. 500 character limit)

Desired outcome of this meeting (200 character limit)

Request ID#: CSR2914