Submit Workers' Comp Application

WC Quote

Florida: Download Acord 130 FL | Fill out Acord 130 online
All other states: Download Acord 130 | Fill it out online
Supplementals: Check if you need a supplemental
‍Already have these form completed?
Email them to applications@normandyins.com

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Targeted Industries

  • Artisan Contractors
  • Automotive Repair
  • Country Clubs
  • HVAC
  • Healthcare
  • Hotel/Motel
  • Commercial Janitorial
  • Landscape/Lawn
  • Light Manufacturing
  • Property Management
  • Restaurant
  • Retail/Wholesale