Get Erm6

The Erm6 form is essential for reporting workers' compensation experience ratings for non-affiliate data. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete the Erm6 form online.

1. Click the 'Get Form' button to obtain the Erm6 form and open it in the editor.
2. Enter the name of the risk in the designated field.
3. Provide the complete address of the risk, including city, state, and ZIP code, in the respective sections.
4. Input the risk identification number in the appropriate field.
5. Fill in the effective date of the rating using the specified format.
6. Enter the federal identification number accurately.
7. For the coverage period, fill out the effective date and expiration date for each year of experience including month, day, and year.
8. Input the classification codes that best describe your type of business in the provided column.
9. Report the payroll amounts associated with the classification codes for each year separately.
10. Provide the claim identification numbers where applicable, or leave the field blank if not used.
11. Fill in the injury type codes as per the guidelines, ensuring only one code is used per claim.
12. Indicate if the claim is open or closed by entering 'O' for open or 'F' for final.
13. Incurred losses (paid plus reserves) must be listed for each claim, or place '0' if no claims have occurred.
14. Complete the agreement section by certifying the accuracy of the information and signing the form.
15. Finally, save the changes, download, print, or share the completed form as necessary.

Complete your Erm6 form online today to ensure accurate workers' compensation reporting.