Turn on more accessible mode
Turn off more accessible mode
The Source You Trust
Search
800-622-4123
  • Contact Us
  • Products
    • Popular Products Riskworkstation™ NCCI Atlas Class Look-Up Data Manager Dashboard
    • Product Catalog
      Comprehensive library of NCCI's products.
  • About NCCI
    • Explore Careers
      People who join NCCI... can make an IMPACT.
    • Corporate Responsibility Facts and Information NCCI Cares Contact NCCI
    • Learn About NCCI About Us Our Leadership Media Center NCCI State Map
  • Learn@NCCI
    • NCCI Academy
      Curriculum-based learning exclusively for NCCI carriers and regulators.
    • Learning Center
      Topic-based learning for agents and available to all!
    • Other Learning Experiences NCCI Atlas Training Virtual Carrier Education Series Microlearning Videos
  • Log In
  • My Profile
    • My Contact Information My Email Notifications Recent ncci.com Updates My Products Company Administrators
    • Issues Tracking View/Pay My Invoice (OIS)
  • Data Reporting
  • Industry Information
  • Residual Markets
  • Underwriting
  • Agents/Brokers
  • Insights
Search
  • My Profile
    • My Contact Information
    • My Email Notifications
    • Recent ncci.com Updates
    • My Products
    • Company Administrators
    • Issues Tracking
    • View/Pay My Invoice (OIS)
  • Data Reporting
  • Industry Information
  • Residual Markets
  • Underwriting
  • Agents/Brokers
  • Insights
  • Contact Us
  • Products
    • Product Catalog
    • Popular Products
      • Riskworkstation™
      • NCCI Atlas
      • Class Look-Up
      • Data Manager Dashboard
  • About NCCI
    • Learn About NCCI
      • About Us
      • Our Leadership
      • Media Center
      • NCCI State Map
      • Corporate Responsibility
      • Facts and Information
      • NCCI Cares
      • Contact NCCI
    • Explore Careers
  • Learn@NCCI
    • Learning Center
    • NCCI Academy
    • Other Learning Experiences
      • NCCI Atlas Training
      • Virtual Carrier Education Series
      • Microlearning Videos
Agents/Producers/Brokers

Popular Forms Complete List

Posted Date: Current
    
Page Content
Contracting Classification Premium Adjustment Program (CCPAP) Workers Compensation Premium Credit Application Forms
Provides a discount program for qualifying contractors who pay employees more than the average wage.
Posted Date: Current
Letter of Authority Template (PDF)
The Letter of Authority Template gives authorization to an agent or carrier to access an employer’s information from NCCI.
Posted Date: Current
PEO - Assigned Risk Forms
Learn how to accurately fill out the following frequently submitted forms by downloading a copy of the form along with the instructions.
Posted Date: October 28, 2021
PEO - Employee Leasing Forms
Learn how to accurately fill out ER Split Data hard copy reporting forms.
Posted Date: August 11, 2021
ERM-14—Ownership Submission
ERM-14 form is to be submitted for reporting changes in ownership, mergers, consolidations or a combination of entities.
Posted Date: Current
ERM-6 Form
ERM-6 form is used when a risk's coverage period is insured by a non-affiliate self-insurer or a non-affiliate carrier.
Posted Date: Current

​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
NCCI
Home
About Us
Careers
Contact Us
Website SLA
QUICK LINKS
Events and Programs
Learning Center
NCCI Academy
Online Invoice Service (View/Pay My Invoice)
Recent ncci.com Updates
Product Catalog
Solutions
LEGAL
Privacy Policy
Terms of Use

CONNECT WITH US

We use cookies on this site to enhance your user experience. By continuing to use this site you are giving us your consent to place cookies on your device.

Continue Give me more information