NEW YORK WORKER'S COMPENSATION QUOTATION REQUEST
 Through ABPA Safety Group #541                                                                                                                                                                                                                                             

Insured name:

Address:

Phone #:

Contact name:

E-mail address:

 

  

CODE

PAYROLL
 

Retail:

8017

 

Wholesale:

8018

 

Furniture-retail/wholsale:

8044

 

Installation & repair:

5191

 

Clerical:

8810

 

Executive:

8809

       Include or Exclude:         Number of employees:

 

Salesmen:

8742

 

Drivers:

7380

 

Experience mod.:

  

 

Other:

  

 

Other:

  

 

 

   761 Koehler Avenue, Ronkonkoma, NY  11779                                    ©2006 Irving Weber Associates, Inc.