California Workers' Comp Quote for Contractors

Submit payroll, employee-duty, classification, ownership, and loss information for an individualized review subject to eligibility and underwriting.

Your Business Information

Legal Entity Type

Your Name *

Business / Company Name

FEIN / EIN (XX-XXXXXXX)

CSLB License # (optional)

If you have one

Business Address

State defaults to California.

What work do you do?

Estimated Annual Payroll ($)

Full-time employees (#)

Part-time employees (#)

Current Policy Expiration Date

Workers' Comp Details

WCIRB Trade / Class Code

Owner Included in Payroll?

Claims in Last 3 Years?

Current WC Carrier (if any)

Contact Information

Email Address *

Phone Number *

Optional documents

Declarations pages and loss runs can help the team review your request. They are optional and can be provided later.

Policy declarationsLoss runs

Submitting this request does not bind coverage. Eligibility, pricing, effective dates, and certificates require complete information and underwriting confirmation.

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