Workers' Compensation                                                Click here for additional WC Forms

Wickens, Herzer, Panza, Cook & Batista Co. Provided Substantial Workers' Compensation Premium Savings For The 2007 Group Rating Year

You may be aware that WHPCB  partnered with Access/GWC to provide a Workers’ Compensation Group Rating program through the Association for Business and Trade, as administered  by Access/GWC for the 2007 group rating year. We are now looking forward to the 2008 group rating year beginning in June. If your company is interested in obtaining a quote for participation in our 2008 group rating program, please complete and return the enclosed AC-3 form. Note that signature on the AC-3 is for quote purposes only and companies need not fear being “automatically” enrolled in our group rating program.

For penalty rated companies (companies currently ineligible for group rating), we offer a FREE comprehensive review of your claims history, with the intent of making recommendations to reduce claim costs ultimately resulting in group eligibility.

►Click here for a copy of the WC Brochure

►Click here for AC-2 Form

►Click here for AC-3 Form

Additional Workers' Compensation Form
 

Back Questionaire	New Claim Checklist
FROI-1	Supervisors Report
Incident Report	Witness Statement
Medical Release	Medco-14
Workers’ Compensation Claims Reporting Procedures