Application for insurance 2026

1. Click ‘Get Form’ to open the application for insurance in the editor.
2. Begin by entering your Employer Account Number and the Effective Date of Coverage. Ensure these details are accurate as they are crucial for processing your application.
3. In the General Information section, provide your Legal Name, SIC Code, NAICS, and Trade Name if applicable. This information helps identify your business type.
4. Fill in your Federal Employer I.D. Number and Unemployment Account Number. If you’re using a Professional Employer Organization (PEO), include their name and address.
5. Indicate your reason for applying for insurance coverage by selecting from options like 'New Business' or 'Change of Entity'.
6. Complete the Type of Entity section by selecting the appropriate business structure that describes your organization.
7. List all owners, partners, or corporate officers along with their respective ownership percentages and whether coverage is desired.
8. Finally, review all entered information for accuracy before submitting. Ensure you sign and date the application to validate it.

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