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Documents & Forms

Access our library of state-specific and general documents including state posting notices, audit information, claim documents and more.

REQUIRED

State Posting Notices

Employers are required to post and maintain state notices in a conspicuous place. Simply select your state, print and post in your workplace.


Policy

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Cancellation Request

Complete and return this form to [email protected].

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Audit Dispute

Instructions on how to dispute an audit.

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Loss Runs

Instructions on how to access a BerkleyNet loss run.

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8720C Dispute

Complete this form for each applicable worker and return to [email protected].

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Auto-Pay

Instructions for how to set up Auto-Pay on the new portal.

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AZ Sole Proprietor Waiver

Do you have business in Arizona and hire subcontractors? If so, please complete and return this form to [email protected].

 

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MD Exclusion Forms

Exclusion forms must be filed electronically in the state of Maryland. Forms can be accessed on the Maryland Workers Compensation Commission website.

Claims

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Medical Record Release

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Temporary Pharmacy Card

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Wage Chart & Instructions

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Job Description

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Claims Excellence

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Claims Case Study

California

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CA Dual Wage Classification

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Officer Waiver

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CCPA Personal Information Collection Notice

Can’t find what you need?

If you need something that’s not listed here, please reach out to our team at [email protected] or use our Quick Service & Chat tool.