The Business Operations Report assists WCRB in ensuring that businesses are properly classified. Once the report is submitted, WCRB staff reviews the information and determines if the business is properly classified. [show more]
If incomplete or insufficient information is provided, WCRB will use the contact information provided to obtain additional information.
  • All of the contact information is required, with the exception of the Coverage ID. (Providing the Coverage ID is strongly recommended.)
  • Policy number should be entered without any special characters (i.e. dashes) or spaces.
  • At least one legal status must be selected.
  • All four yes/no questions must be answered.
  • All of the Description of Operations fields must be completed, with the exception of the fields that state "if applicable" and the comments section.
  • At least one Department or Functional Area row must be completed, along with the corresponding number of employees.
  • If you desire a copy of WCRB's final ruling, you must check the “Yes, I want a copy of WCRB's rulings mailed to me when they are finalized” box located above the Submit button.
  • Once you have completed the report, click the "Submit" button.
  • Print a copy of your submission with your confirmation number to reference for your records.
If you have any questions regarding this process, please contact WCRB at 262-796-4540. [show less]

Contact Information
NAME   TITLE  
TELEPHONE () - EXT   EMAIL  
VERIFY EMAIL  
 
EMPLOYER NAME   FEIN  
STREET  
CITY   STATE ZIP -  
INSURANCE CARRIER  
POLICY NUMBER*   
*Do not enter imbedded spaces or special characters 		EFFECTIVE DATE   
COVERAGE ID   
 
Legal Status (check all that apply):
 
1. Have there been any changes in operations or legal setup within the past three years?
If yes, please provide details in the Comments section below.
2. Do you share common ownership with other companies?
If yes, please provide details in the Comments section below.
3. Do you operate at any other locations?
If yes, please provide details in the Comments section below.
4. Do you own an aircraft?
If yes, please provide details in the Comments section below.
 

Description of Operations
Please provide details of your operations for the following areas, commenting in all pertinent fields.
 
Products manufactured or services provided:
 
Raw materials or supplies used, if applicable:
 
Equipment used in production operations or in services provided:
 
Manufacturing processes or service procedures:
 
Method of, and party responsible for, transportation of raw materials and finished goods, if applicable:
 
Comments:
 
 

Number of Employees
At least one Department or Functional Area and its corresponding Number of employees must be entered.
 
Department or Functional Area: Number
*If more than 25 Departments or Functional Areas, please add to the Comments section.