Connect with Us
Find a Workers’ Comp
coverage solution for your
client
Smart & Secure online submission form.
Send a Submission
The fastest way to get coverage options for your hard-to-place clients is to submit directly through our form.
All submissions are reviewed promptly by our underwriting team. You’ll receive confirmation and a response within one business day.
"*" indicates required fields
Need Help With a Submission?
If you’re unsure what documents to include, need assistance with the form or have any questions, our team is here to help.
Email us at submissions@worksperity.com, or call us directly for support.