Making Workers' Compensation Work Since 1991™

Request a Quote for Workers' Compensation Insurance

Request a workers' compensation insurance quote for individual self-insurance programs administered by NCAComp, headquartered in Buffalo, New York.

Company name:
Business Description:
Legal Structure:
Sole Proprietorship Partnership Corporation Other
# of years in business:
Experience modifier:
Current carrier:
Anniversary Date:
Contact Name:
Phone #:Fax #:

Provide me a quote using the following payrolls and classifications:

Code #Code DescriptionAnnual Payroll
8809Executive Officers
8810Clerical office workers
8742Outside salespeople

Click the above "Submit" button, or else print out this form and fax it to NCAComp at (716) 842-0018.

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