The purpose of this form is to request access to a WCRB Web Service. Individual carrier organizations may enroll for this Web Service if they are members of the bureau. (No Group enrollments accepted.)
To enroll in the CDX WCUnderwriting web service, in addition to submitting this form the carrier’s CDX primary administrator must log into their cdxworkcomp.org member account and request DCO approval in the My UMG/Web Service Setup tab.
Upon receipt of this completed form, the WCRB will initiate the Service enrollment process for the carrier.
Please contact wcrbwebmaster@wcrb.org for any questions regarding this form.