Worker's Comp
Click here to Report a Work Accident
The latest revisions of the Worker's Comp applications and supporting documents can be found on this page below. If you can not find what you are looking for or need any other assistance please contact us via our webpage or call an office directly. All office hours and contact information is found in the "Offices" section of the menu at the top of the site.
This is the full renewal application to be used if you have not yet completed an application for the New Policy Period (7/1/23 - 6/30/24)
Trainer Application (Instructions)
Farm Application (Instructions)
Trainer Employee Application (English)
Trainer Employee Application (Spanish)
Farm Employee Application (English)
Farm Employee Application (Spanish)
Horsemen's Workers' Compensation Insurance Trust Indemnity Agreement
