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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].

 

Claims

 

Medical Record Release

 

Temporary Pharmacy Card

 

Wage Chart & Instructions

 

Job Description

California

 

CA Dual Wage Classification

 

Officer Waiver

 

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.