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Thank you for your interest in Cove Risk’s money-saving workers’ compensation coverage.

Please supply the following information to receive your FREE, no-obligation quote.

We will contact you within 1 business day.

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    Company Name*

    Business Description*

    Contact Name*

    Address

    Address 2

    City

    State

    Zip Code*

    Phone*

    Email*

    Do you currently have workers' comp insurance?
    YesNo

    Is this a new business?
    YesNo

    About how many employees do you have?

    How many years have you been in business?

    Estimated annual payroll for all employees

    Current Broker

    Policy expiration date

    What bothers you most about your
    current coverage?


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