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 Title:

Contact E-mail Address:

Contact Phone: () -

Preferred Contact Method:

Request Type:

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#: CSR4536