(972) 325-2244
Plano, TX
Superior Insurance Services, Inc.
Toggle navigation
Home
About Us
Request a Quote
Personal Insurance
Auto Insurance
ATV Insurance
Boat Insurance
Car Insurance
Classic Car Insurance
Condo Insurance
Earthquake Insurance
Flood Insurance
Health Insurance
Home Insurance
Landlord Insurance
Life Insurance
Long Term Care
Medicare Insurance
Medicare Advantage
Medicare Supplement
Mobile Home Insurance
Motorcycle Insurance
RV Insurance
Rental Home Insurance
Renters Insurance
Short Term Rental Insurance
SR22 Insurance
Umbrella Insurance
Windstorm Insurance
Health Insurance
Individual Health Insurance
Group Health Insurance
Dental Insurance
Life Insurance
Long Term Care
Medicare
Vision Insurance
Business Insurance
Auto Repair Shop
Bar and Tavern Insurance
Bonds
​Business Owners Insurance
Business Insurance FAQ
Business Auto Insurance
Builders Risk Insurance
Commercial General Liability
Commercial Auto
Commercial Property
Commercial Real Estate
Condo Association Insurance
Contractors Insurance
Construction Insurance
Cyber Liability Insurance
Doggie Daycare Insurance
EPLI
Farm Owners Insurance
HOA Insurance
Home Inspectors Insurance
Janitorial Insurance
Lessors Risk Insurance
Liquor Liability Insurance
Manufacturing Insurance
Medcal Office Insurance
Pest Control Insurance
Professional Liability
Restaurant Insurance
Special Event Insurance
Surety Bonds
Trucking Insurance
Workers Comp Insurance
Customer Service
Report a Claim
Make a Payment Online
Change of Address
Request a Certificate
Blog
Contact
Workers Compensation Quote Form
Workers Compensation Quote Form
Your Company Information
Company
*
Phone Number
*
Fax
Email
*
Details
Should we fax the certificate?
No
Yes
Email the certificate?
No
Yes
Additional Insured
No
Yes
If yes, give details
Waiver of Subrogation
No
Yes
If yes, give details
Recipient Information
First & Last Name / Company
Street Address
City
State
Zip
Phone Number
Fax
Email
Attention
Job Reference
A detailed description of your operation
Date coverage is needed
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2021
2022
2023
2024
2025
2026
The location of the operation
# of employees
The total amount of payroll for each type of job
Your loss experience (history of your workers’ compensation claims)
State employer #
Have you ever had work comp?
No
Yes
Comments
Your Comments
© 2009-2024
Websites by Agency Relevance
, All Rights Reserved.