Work Injury Compensation Insurance

Order Number: 12345678

Services:

Change location of risk

Please make sure to answer honestly, with accurate and up-to-date information. If you don’t, your policy may be cancelled, and your insurer could reject your change or declare not to pay it in full.

Work Injury Compensation Insurance

Order Number: 12345678

Services:

Include another entity/company as a joint-insured

Please make sure to answer honestly, with accurate and up-to-date information. If you don’t, your policy may be cancelled, and your insurer could reject your change or declare not to pay it in full.
Click here to add more entity/company

Work Injury Compensation Insurance

Order Number: 12345678

Services:

Include another entity/company under a cross-liability clause

Please make sure to answer honestly, with accurate and up-to-date information. If you don’t, your policy may be cancelled, and your insurer could reject your change or declare not to pay it in full.
Click here to add more entity/company

Work Injury Compensation Insurance

Order Number: 12345678

Services:

Include another entity/company for a waiver of subrogation

Please make sure to answer honestly, with accurate and up-to-date information. If you don’t, your policy may be cancelled, and your insurer could reject your change or declare not to pay it in full.
Click here to add more entity/company

Work Injury Compensation Insurance

Order Number: 12345678

Services:

Thank you for the update.

We will get in touch with you in the soonest to update you on the process.