Workers' Compensation Insurance - Pennsylvania Department ... 2026

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The document is an application for workers' compensation insurance coverage from the State Workers' Insurance Fund (SWIF) in Pennsylvania. It outlines the mandatory requirement for employers to carry workers' compensation insurance, the consequences of non-compliance, and detailed instructions for completing the application. The document includes sections for business information, ownership details, previous insurance history, payroll estimates, and additional requirements based on the type of business entity. It emphasizes the importance of accuracy in submissions and warns against fraudulent statements.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Business Name and Mailing Address in the designated fields. Ensure accuracy as this information is crucial for processing.
Provide your Federal Employer Identification Number (FEIN). If you are a new business, indicate the date applied for your FEIN.
Select the type of business entity from the options provided. Complete either Table A or Table B based on your selection, ensuring all relevant details are filled out.
Fill in the payroll information, including class codes and estimated payroll for each classification. This will help determine your premium accurately.
Review all sections for completeness before submitting. Incomplete applications may be returned without coverage.

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How do I check my workers comp status in PA?

Toll free inside PA: 800-482-2383; local outside PA: 717-772-4447. People with hearing loss: Toll free inside PA TTY: 800-362-4228; local outside PA TTY: 717-772-4991.

How long does a workers comp settlement take in PA?

On average, however, most cases are finished within 18 months, and then it takes more time for the judge to make a decision. Depending on the judge, you may have to wait for an additional 8 to 12 months. The employer then has the option to appeal the decision if they lose.

What is workers compensation in the state of Pennsylvania?

Under the PA Bureau of Workers Compensation, your employees can receive a weekly wage to cover their medical treatment and lost wages after suffering a work-related injury or disease. Workers comp allows you to provide benefits to your employees while also protecting yourself from lawsuits.

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How to get workers compensation insurance in PA?

There are four ways a business can obtain workers compensation insurance coverage in Pennsylvania: Purchase a policy through an insurance agent or broker. Purchase coverage directly from one of the 300+ private sector insurance carriers who write workers compensation policies. Apply for self-insurance status.

How do I contact PA workers compensation?

Contact Us Submit a question or chat live with the WCOA Resource Center by visiting the WCAIS Customer Service Center. You may also contact us by emailing WCOAResourceCenter@pa.gov or calling 1-844-237-6316.

How do I contact Pennsylvania workers compensation?

How do I contact PA Department of Labor?

Federal Department of Labor Offices in Pennsylvania Philadelphia District Office. US Dept. of Labor. Wage Hour Division. 1617 John F Kennedy Blvd, Suite 1780. Philadelphia, PA 19103. Phone: (215) 597-4950. Contact: Jim Cain, District Director.

Does Pennsylvania require workers compensation insurance?

Workers compensation coverage is mandatory for most employers under Pennsylvania law. Employers who do not have workers compensation coverage may be subject to lawsuits by employees and to criminal prosecution by the commonwealth. Some employers are exempted from workers compensation coverage.