Florida & Georgia's Workers Compensation Specialists - Free Quote

Florida Workers' Compensation Specialists

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Save money on your
Workers’ Comp RENEWAL

Just Fill in the 7 questions below
from your current policy

FLORIDA OPERATIONS ONLY
FREE QUOTE FORM

1.  Your Classification & Payroll
Code

Class

Payroll

Code

Class

Payroll

Code

Class

Payroll

Code

Class

Payroll

2.  Experience Mod 2006 - New
3.  Experience Mod 2005 - Old
4.  Workers Comp Quote
     Employee Leasing Quote
     Please Quote on Both
  Please Select one

5.  Do you have Group Health Insurance?

Yes No

6.  Average Hourly Rate for Highest
     WC Rate (Full-time employees)

7.  Date your current policy expires (MM/DD/YR)

Please provide contact information below and we will give you a free no obligation Quote the next working day.
Name:
Company:
Address:
City:
State:   FLORIDA ONLY!
Zip:
Phone:
Fax:
E-mail:

OR OPTION #2

Fax It!

FAX the first two pages of your policy
(904) 448-9788
Attention: Gary S. Gray
We'll contact you immediately with your quote.

Or Call us TOLL FREE at
(888) 266-7140
ask for Gary or Christy

We will give you a Quote the next Working Day - We hope to save you thousands over your Renewal Policy.  We will also provide you a General Liability Quote at the same time.
Gary S Gray

  

P.S.   You must have a current in-force policy to qualify for this program - Current policy must be greater than $10,000 annual premium. 

Florida Operations Only.

Email your questions or comments to:
Gary.Gray@ioausa.com

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