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Rhode Island Division of Workers' Compensation |
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| RI Workers' Compensation Forms: Administrative Fund Forms |
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To
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| Administrative Fund Forms | Right click on a form to save a copy on your PC. | |||||||||||||
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Information on Licensed Insurers Assessment Return Form: All insurers licensed to write or renew workers' compensation or employers' liability insurance in the State of Rhode Island must pay an annual assessment to the Workers' Compensation Administrative Fund. The assessment basis is the gross premiums received in the prior calendar year. Insurers must provide CALENDAR YEAR 2007 premium information as indicated. This form must be completed for insurers licensed at any point in calendar year 2007, even if no premiums were written. The filing deadline
for the assessment return form is March 7, 2008. Please mail return
forms
to: |
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If you have any questions or comments about Workers' Commendation Administrative Fund forms, please contact Natalie Gray at (401) 462-8101 or NGray@dlt.ri.gov or Joelle Gordon at (401) 462-8098 JGordon@dlt.ri.gov
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For general information on workers' compensation, please contact the Information Line at (401) 462-8100 option 1, or WCEdcUnit@dlt.ri.gov To comment on this site, please contact the WC web staff at (401) 462-8023 or WCWebmaster@dlt.ri.gov This page was last updated on 01/08/2008. |
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