Workers' Compensation                                                Click here for additional WC Forms

Wickens, Herzer, Panza, Cook & Batista Co. Provided Substantial Workers' Compensation Premium Savings For The 2010 Group Rating Year

You may be aware that WHPCB  partnered with Northeast Ohio Safety Council to provide a Workers’ Compensation Group Rating program through the National Business Council and Northeast Ohio Safety Council for the 2010 group rating year. We are now looking forward to the 2010 group rating year beginning in July. If your company is interested in obtaining a quote for participation in our 2011 group rating program, please complete and return the enclosed AC-3 form. Note that signature on the AC-3 is for quote purposes only and companies need not fear being “automatically” enrolled in our group rating program.

For penalty rated companies (companies currently ineligible for group rating), we offer a FREE comprehensive review of your claims history, with the intent of making recommendations to reduce claim costs ultimately resulting in group eligibility.

►Click here for a copy of the WC Brochure

►Click here for AC-2 Form

►Click here for AC-3 Form

Additional Workers' Compensation Form
 

Back Questionaire	New Claim Checklist
FROI-1	Supervisors Report
Incident Report	Witness Statement
Medical Release	Medco-14
Workers’ Compensation Claims Reporting Procedures