Frequently Accessed Forms Complete List

    
ERM-14 Form
ERM-14 form is to be submitted for reporting changes in ownership, mergers, consolidations or a combination of entities.
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
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