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Workers Compensation Quote

Please provide the following information to obtain a quote

Remember that no coverage is considered bound unless you are notified by our agency.

For information or a quote on multiple lines, or lines not listed, Please Contact Us.

Please provide information about your employees

If you are not sure what this is, leave blank

This is basically a description of the type of job that this group of employees performs - example: "clerical"

$

Please provide information about your workers' compensation experience/coverage information

Click here if you answered "excluded" to the above question

Please provide us your contact information in order to complete this quote form

Did You Know

There could be coverage limitations for employees who are working outside of the United States who might need special, emergency transportation back to the states.

Customer name or code: %profile[profile_unique_cid]

Thanks for providing this information %profile[profile_first_name]. If we need to contact you for additional information, we will send you a message through the secure Message Center. You can view a copy of this request by clicking on File Cabinet. If you are a registered customer, you will receive an email confirming this request made on Wednesday, February 8, 2012 - 1:26am.

By clicking the Submit Button you are agreeing to the Terms Conditions of doing business with our agency via the Internet.
Click here to view the Terms & Conditions.

Contact Us

Durrett Insurance Agency
6004 Brownsboro Park Boulevard Suite C
Louisville, KY 40207-5620
800-332-4468

 

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