EMPLOYERS LIABILITY INVITATION 2022 Please answer the following questions below! WHAT IS THE INSURED NAME OR BUSINESS? WHAT IS THE BUSINESS OCCUPATION? WHAT IS THE LOCATION OF THE BUSINESS? INDEMNITY LIMIT REQUIRED - ANY ONE ACCIDENT/ PERIOD? WHAT ARE THE CATEGORIES OF EMPLOYEES FOR YOUR BUSINESS? E.G. MANAGERS, SUPERVISORS, CUSTOMER, SERVICE REPS, HELPERS ETC. ADD CATEGORIES AS PER YOUR BUSINESS OCCUPATION? WHAT ARE THE TOTAL MONTHLY WAGES PER CLASS OF EMPLOYEE? WERE THERE ANY CLAIMS MADE IN LAST 10 YEARS? Send
