Rick Powell Insurance Agency, LLC Call Now - 818-861-7440

WORKERS COMP INSURANCE QUOTE

Rick Powell Insurance - Workers Compensation Insurance
Did you know California law requires employers to have workers' compenstation insurance if they have even one employee? Rick Powell Insurance Agency LLC has excellent rates for Workers Compensation Insurance through some of the best California Insurance carriers.

We would like to provide you with a free, no-obligation Workers Compensation insurance quote for your business. Fill out the form below so we can find the best package for your insurance needs. Please provide as much information as possible for the most accurate quote. This information will be kept confidential and will be used for quote and/or policy purposes only.

If you have questions about our agency, feel free to call us directly at (818) 861-7440 or email us at
Rick@Insurance4CA.com We look forward to serving you.

Workers Compensation Basic Information

General Information
Name of Business*:
Contact Name:
Address*:
City*:   State*:   Zip*:
Business Type:    Other:
Business Tax ID Number:
Business Phone:   Fax:
Email Address:
About Your Business
# of full-time
employees:
 # of part-time
employees:
 How long
in business:
years		 How many
locations:
 Estimated Annual
Payroll:
$
Please give a brief description of your business(below):
Current Insurance Information
Company Name (not agency):
Policy Expiration Date:   Premium Amount: $
Additional Comments
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