Minnesota Workers Comp Insurance from MN Business Insurance.com - low rates, fast quotes on MN Workers Comp insurance

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PO Box 1177
Lakeville, MN 55044
Toll Free: 800-972-4292 ext. 425
Phone: 952-469-0425
Fax: 952-469-1881

Insuring Minnesota
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Insurance License # 44761

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Your Company's Name:
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City:
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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.)


Underwriting Information:

Describe IN DETAIL, Your Business Operations:

Payroll Class #1:
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Payroll Class #2: (if none, leave blank)
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