Step 1 Business details

    Step 2 Coverage details

    Step 3 Owner information

    I certify that I am currently licensed and have not had a previous claim in the past 3 years.

    * indicates a required field

    You agree to the following subjectivities and requirements to participate in the Workers Comp program: 1) Must have NO claims in the previous 3 years. A “No Loss Letter” will be required stating you have had no claims. 2) All Employees must be on payroll. 3) All Relatives must be on payroll (Unless they are Owners). If you have had any claims in the previous 3 years, you must submit Loss Runs for review to blake@insuremyrcfe.com or by fax at (805) 367-4521.