Comp Agents’ Document Uploader

Fast Workers Comp Quotes For Clients

• Use our easy form uploader to submit your clients documents below.
• Upload as many documents as you like.
• Need help?  Call for assistance 1-866-684-5684.

1. Prepare an Agent Accord Form to upload.
2. Prepare you client’s Loss Runs & Loss Affidavits to upload.
3. Return to this page and click on “Forms Uploader”.
4. Upload your Agent Accord Form & your client’s Loss Runs & Loss Affidavits.

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Name *

First

Last

Job Title

Company Name

Email *

Phone

Client Company Name

File Upload *

Click or drag files to this area to upload. You can upload up to 5 files.

Additional Comments

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