StateFundFirst

StateFund First has made it easy for you to submit your workers’ compensation business. You have a choice of 2 different methods:

• Submission Instructions or How to Submit

  Submission Instructions

• Submission Tips

  Business Operations and Proper Classifications

  License and Payroll

  Entity Types and Eligibility for Exclusion

  Entering and Attaching Loss Runs

• Applications

  ACORD WC Application 

  State Fund Supplemental Application

  Trucking Questionnaire

  USL&H Application

  USL&H Questionnaire

  Athletic Team Questionnaire

  Medical Marijuana Questionnaire

  Domestic Care Supplemental

  Movie Production Questionnaire

  SCIF – Employees Supplemental Aircraft Questionnaire

  SCIF – Pilot Supplemental Aircraft Questionnaire 

  Agriculture Supplemental Questionnaire

  Construction Supplemental Questionnaire

  General Supplemental Questionnaire

  Manufacturing Supplemental Questionnaire

  Rental Property Owner or Operator Supplemental Questionnaire

  Hotel Motel Supplemental Questionnaire

  Janitorial Supplemental Questionnaire

  Landscaping Supplemental Questionnaire

  Restaurants Supplemental Questionnaire

  Towing Supplemental Questionnaire

  Automotive Services Supplemental Questionnaire

  Payroll and Employee Count Supplemental

  Roofing Supplemental, English and Spanish

  SCIF Job Notification

  Pre-Coverage Private Residence

• Waiver and AI Request Form

  Waiver and Al Request Form