Frequently Accessed Forms Complete List

    
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
PEO - Employee Leasing Forms
Learn how to accurately fill out ER Split Data hard copy reporting forms.
Posted Date: November 30, 2018
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: August 15, 2012