CT Workers Compensation Insurance Quote

We offer affordable workers comp insurance services to businesses in the
following Connecticut counties and cities: Fairfield County, New Haven
County, Litchfield County, Middlesex County, New London County, Hartford
County, Tolland County, Windham County, Stamford, Norwalk, Greenwich,
Darien, Riverside, Belltown, Springdale, Round Hill, Old Greenwich, East
Norwalk, New Canaan, Glenville, Byram, Cos Cob, Mianus, North Stamford,
Glenbrook, Wilton, Weston, Long Ridge, Noroton, West Norwalk, Westport,
High Ridge, Southport, North Wilton, Winnipauk, Cannondale, Turn of River,
South Wilton, Lyons Plains, Georgetown, Ridgefield, Branchville, Redding,
Topstone, Ridgebury, Redding Ridge, Branchville, Dodgingtown, West
Redding, Titicus, Hattertown, Bethel, Danbury, New Fairfield, Newtown,
Hawleyville, Botsford, Monroe, Bridgeport, Stepney, Shelton, Huntington,
Upper Stepney, Long Hill, Trumbull, Stratford, Easton, Fairfield, Greenfield
Hill, Stratfield, Nichols, Oronoque, Rivercliff, Devon, Lordship, and East
Bridgeport, New Haven, Hartford, Torrington, Waterbury, Meriden, New
Britain, New London, Norwich, Manchester, East Hartford, Suffield, Granby,
West Haven, West Hartford, Branford, East Haven, Hamden, Woodbridge,
Orange, North Haven, Groton, Rocky Hill, Newington, Wethersfield,
Glastonbury, Bloomfield, Blue Hills, South Windsor, Naugatuck, New
Hartford, Chesire, East Lyme, Old Mystic, Wallingford, Southington,
Middletown, Bristol, Laurel Beach, Litchfield, Pleasure Beach, Mystic, North
Westchester, Double Beach, Willimantic, Storrs, Canaan, East Windsor,
Vernon, South Canaan, Putnam, Guilford, Windham, South Britain, Willington,
Windsor, East Hampton, Brooklyn, and Westchester, CT.

"Your local Connecticut Workers Comp Insurance agent specialist!"

In addition to a Connecticut Workers Compensation Insurance Quote,
we can also offer your business affordable Group Health Insurance
premiums or choose another CT commercial or group insurance
coverage from the menu below.

Connecticut Workers Comp

Insurance Quote

Information received from this Connecticut workers compensation insurance quote form
sent to Stamford Insurance Group will be for our use only and will not be sold, given to or
distributed to any other parties. A quote will be based on the workers compensation
insurance information provided and does not guarantee acceptance of the risk by us. The
precise coverage afforded is subject to meeting underwriting guidelines, and the terms,
conditions and exclusions of the policy as issued. By submitting this request you
acknowledge that this is neither an offer to insure nor a guarantee of insurance.
Completion of this form does not entitle you to Connecticut Workers Compensation
Insurance. We are licensed in Connecticut, New York, New Jersey, Massachusetts, and
Rhode Island. We will not provide quotes for other states.

Business Name:
Premises Address:
City:     State:     Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required)

Federal Employer's ID #:
Description of Operations or SIC code:

# of full-time employees:    # of part-time employees:
# of locations:    Estimated Annual Payroll: $

Select all that apply to your Connecticut business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water
Other

Current Insurance Company:
Policy #: Expiration Date: (mm/dd/yyyy)
What types of coverages do you currently have:
Commercial Auto
Commercial Liability
Commercial Property
Commercial Umbrella
Directors & Officers Liability
Disability
Group Health
Group Life
Professional Liability
Other

Other Insurance Company Used Within Past 3 Years:
Policy #:
Losses past 3 years:
Description of losses or loss runs:

Employee       Classification Code       Yearly Payroll Estimate
      1                                         $
      2                                         $
      3                                         $
      4                                         $
      5                                         $

Principal             Name                                          Title                           Include
      1
      2
      3
      4
      5

Additional Information or Comments

Click on the "Submit Quote Information" button below to send your
Connecticut Workers' Compensation Insurance quote request.

Connecticut Business Information:

About Your Connecticut Business:

Recent Insurance Information:

Employee Information:

Officers / Partners / Owners Information:

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Connecticut Workers Comp Insurance Specialists

Commercial Insurance

Workers Comp Insurance Quote

Stamford Insurance Group

22 Knapp Street

Stamford, CT 06907

203-359-0880

Fax: 203-359-9443

SIG Insurance Agency

1157 Highland Ave., Ste 109

Cheshire, CT 06410

203-250-1006

Fax: 203-250-0190

SIG Insurance Agency

84 Bridge Street

East Windsor, CT 06088

860-627-9418

Fax: 860-627-9213

4 Connecticut Locations

SIG Insurance Agency

124 Fort Hill Road

Groton, Connecticut 06340

860-445-8447

Fax: 860-446-0848

"We Are Your Connecticut

Workers Compensation

Insurance Agent"

Now with 4 Connecticut locations to serve you...Stamford, Cheshire, East Windsor, & Groton