Submitting your worker’s compensation premium audit documentation through DocuSign® is easy as 1-2-3!
Note: Completing the Workers’ Compensation process is inclusive of General Liability. If you have only General Liability, please complete the General Liability process.
You have the option of uploading supporting documentation, including: Employee payroll records, Certificate of Insurance for subcontractors, Quarterly Federal 941 Reports, or State Unemployment Quarterly Reports. Note: These documents must be a Word Document (.doc) or an Adobe PDF (.pdf) and 25 MB or less.Learn More
Complete your form
Download a Microsoft Excel Spreadsheet (.xlsx) template of the Workers’ Compensation Self-Audit form, which you should have also received in the mail. Complete all information requested in the template, with the exception of the signature, and save the file to your computer. You will upload the completed template later.Get Started
Upload and Sign
Complete the signing process by clicking below. After providing your name and email address, you will be provided with an access code to confirm your identity. Confirm your acceptance of the Electronic Consumer Disclosure, and follow the on-screen prompts to upload the Workers’ Compensation Self-Audit form (from Step 1), and support documents (from Step 2) to your secure DocuSign® envelope and electronically sign.Sign Now