Workers Compensation Insurance Quotes for Minnesota Contractors

Fill Out Our Workers Compensation Insurance Quote Form

We shop more than a dozen Minnesota Workers Compensation insurance markets to find you the very best rates and coverage. Request a Minnesota workers compensation insurance quote.

Business Information

Enter your full name:

Company name:

Mailing address:

City:

State:

Zip Code:

Email (required):

E-Mail again for accuracy:

Phone:

Fax (optional):

Currently Insured?
(If yes, list carrier, and # of years continuous. If none, type NONE)

List Claims & Amounts Paid

Years In Business:

Business Type:

Employer ID# / EIN:

Unemployment #:

Business Underwriting Information

Describe IN DETAIL, Your Business Operations:

Payroll Class #1:

List Class Code # if you know it, and describe payroll class:

Insert Annual Payroll in dollars for this class here:

Payroll Class #2: (if none, leave blank)

List Class Code # if you know it, and describe payroll class:

Insert Annual Payroll in dollars for this class here:

Payroll Class #3: (if none, leave blank)

List Class Code # if you know it, and describe payroll class:

Insert Annual Payroll in dollars for this class here:

If you have a copy of your current workers compensation policy and your loss runs, please upload and attach them here:

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