Occupational Accident optout general contractor

Jackson - Lloyd Insurance Management

1615 Judson Road, Longview, TX 75601 P.O.Box 187, Longview, TX 75606

800-657-5242

903-758-6206

TEXAS:

QUICK QUOTE - TEXAS

TEXAS 2018 FORM DWC-005

TEXAS FORM DWC-005 VIDEO

TEXAS AGENT PACKET

KANSAS:

QUICK QUOTE - KANSAS

KANSAS AGENT PACKET

ALL STATES:

CERTIFICATE REQUEST

TRANSPORTATION SUPPLEMENT

VERIFICATION OF LOSS HISTORY

WALL POSTER: ACCIDENT / INJURY REPORTING PROCEDURES

FIRST REPORT OF INJURY