Agents

Replace the existing Authorizing Officer for your organization

Replace the existing Group Administrator for your organization

Complete to establish a WCRB website membership

User Guide for WCRB website members and a listing of products afforded to each membership level

Wisconsin Supplementary Non-Election Form

Wisconsin Supplementary Election of Coverage Form

Wisconsin Supplementary Limited Other States Coverage Request

Effective July 1, 2024, the Wisconsin Workers' Compensation Insurance Pool will no longer be accepting hard copy applications. Applications to the pool will only be accepted electronically via the Online Assigned Risk (OAR) member product. For more information on OAR, click here or contact our Pool Team at oar@wcrb.org or call 262-796-4592

WCPAP Premium Credit Factor Online Application

WCPAP Carrier Audit Form

Additional Remarks Schedule

Workers Compensation Application

Worker's Compensation and Employers Liability Insurance Policy language

Worker's Compensation and Employers Liability Insurance Policy information page

General Information Page Notes

Information Page Notes