Get Contracting Classification Premium Adjustment Program Workers Compensation Premium

Filling out the Contracting Classification Premium Adjustment Program Workers Compensation Premium online can be a straightforward process when guided correctly. This guide offers step-by-step instructions to help users complete the application accurately and efficiently.

Follow the steps to complete your application successfully.

1. Press the ‘Get Form’ button to retrieve the form and access it within your editing platform.
2. Input the name of the insured in the designated field at the top of the form. This should reflect the legal name of the business or individual seeking premium adjustment.
3. Fill in the address, including city, state, and zip code, ensuring all information is accurate and current.
4. Complete the fields for policy effective date and policy number, as well as the carrier name. This information is essential for your application to be processed.
5. Indicate whether your business is new by selecting 'Yes' or 'No.' If your answer is 'Yes,' provide information for the first complete calendar quarter following the policy effective date, if available. If 'No,' submit data for the third calendar quarter of the year before the effective date.
6. List actual wages paid and total hours worked for each contracting classification as outlined on the form. Ensure to compile total wages per code and enter them in the appropriate section.
7. Sign and date the application at the end to validate the submission. Make sure your position within the company is also noted.
8. Review all entries for accuracy before finalizing. If satisfied, save your changes, and you can choose to download, print, or share the completed application.

Complete your CONTRACTING CLASSIFICATION PREMIUM ADJUSTMENT PROGRAM WORKERS COMPENSATION PREMIUM application online today to take advantage of potential premium credits.