Workers Comp Insurance Quote Request from WI-Contractors-Insurance.com - low cost wisconsin contractor liability insurance, workers comp, bonds, and other Wisconsin contractor's insurance programs. Save on your wisconsin contractor's liability insurance!

On-Line Workers Comp Insurance Quote Form One Simple Form - takes only 2-3 Minutes! Your Personal / Company Data:
Your Name:
Your Company's Name:
Street Address:
City:
State: (Must be Wisconsin)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again (for accuracy):
Phone:
Fax (optional):


Currently Insured? (If yes, list carrier, and # of years continuous. If none, type NONE)

List Claims & Amounts Paid (If none, type NONE)

Years In Business:

Business type: (proprietorship, corporation, etc.)

FEIN or Social Security #: (now required by all comp carriers to quote)


Underwriting Information:

Describe IN DETAIL, Your Business Operations:

Payroll Class #1:
List Class Code # if you know it, and describe payroll class:	Insert Annual Payroll in dollars for this class here:	$

Payroll Class #2: (if none, leave blank)
List Class Code # if you know it, and describe payroll class:	Insert Annual Payroll in dollars for this class here:	$

Payroll Class #3: (if none, leave blank)
List Class Code # if you know it, and describe payroll class:	Insert Annual Payroll in dollars for this class here:	$


Send my quotation via:	E-Mail Fax Regular Mail

Thank you for filling out this form COMPLETELY!
We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me a
Workers Compensation Quote NOW!

Help Us Fight Spam! Type the Numerical Code you see at right, into the empty text box on the left, so we know you are a human. Thanks for your help!

Enter code at right, here:

reload image

Click Button Below When Done

Please Click Only Once . . . May take up to 30 seconds!

CONTACT US TODAY AT BADGER INSURANCE ASSOCIATES: • Get a Free Contractor Quote • Get a Commercial Auto Quote • Get a Contractor Bond Quote • Get a Contractor Workers Comp Quote • Get a Free Builder's Risk Quote • Our Agency Privacy Notice • More About Our Agency & Service • Our Agency's Main Insurance Web Site Local Office Phone: 608-831-3797 Office Fax: 608-831-5740 Email: markh@badgerinsurance.com	OUR HOME OFFICE (Location & Directions)	RESOURCES & SERVICES AT WI-CONTRACTORS-INSURANCE.COM • Current Clients' Service Request • Insurance Certificate Request • Easy Online Contractor Quote Request
Badger Insurance Associates and WI-contractors-Insurance.com has been insuring Wisconsin contractors for decades. We shop the current major contractor insurance carriers to get you the maximum protection at the most affordable prices. We present FAST quotes, GREAT service, and LOW rates to every customer. Some of the KEYWORDS our clients use to find us on the internet include: Wisconsin contractor insurance, WI contractor's insurance, Wisconsin contractor general liability insurance, contractors insurance, artisan insurance, WI contractor general liability insurance, Wisconsin artisan general liability insurance, low cost WI contractor's insurance, contractor insurance quote, Wisconsin contractor liability insurance, WI contractor's business insurance, and more. Get a Fast and Free Contractors Insurance Quote NOW! Web Site Design © 2018 Insurance-Web-Sales