Frequently Accessed Forms Complete List

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

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

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

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

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