New Jersey
Workers Compensation
Insurance Quote
W.R. McClure Insurance
Services of Flanders, NJ
offers comprehensive
commercial insurance
coverage options and
experienced business
insurance services
throughout New Jersey,
CT, PA, and NY.
Contact us about New
Jersey Workers Comp,
Business Liability,
Commercial Auto,
Contractor, Professional
Liability, Cyber Liability,
Property, and Special
Event Insurance for your
New Jersey, CT, PA, or
NY small business at
(973) 584-5850.
In addition to Workers
Compensation Insurance
quotes, we also offer
affordable Business
Umbrella Insurance
policy quotes for your
New Jersey, CT, PA, or
NY small business.
We are a Flanders, NJ insurance agency offering New Jersey
workers compensation insurance quotes to small business in the
following towns, cities and counties in New Jersey: Mount Olive,
Budd Lake, Hackettstown, Ledgewood, Succasunna, Naughright,
Chester, Mount Freedom, Randolph, Wharton, Dover, Beatyestown,
Port Murray, Great Meadows, Netcong, Mount Arlington, Hopatcong,
Mount Hope, Morristown, Rockaway, Morris Plains, Mendham,
Whippany, Parsippany, Boonton, Hurdtown, Espanong, Greendell,
Pottersville, Bernardsville, Basking Ridge, Mountainville, High
Bridge, Bunnvale, Hampton, Washington, Hope, Newark, Trenton,
Camden, Elizabeth, Jersey City, Paterson, Hackensack, Cherry Hill,
Vineland, Millville, Toms River, Atlantic City, Piscataway, Fort Lee,
Orange, Union City, Paramus, New Brunswick, Bayonne, Hoboken,
North Bergen, Essex County, Middlesex County, Mercer County,
Hunterdon County, Bergen County, Passaic County, Morris County,
Warren County, Sussex County, Somerset County, Union County,
Hudson County, Gloucester County, Camden County, Burlington
County, Atlantic County, Ocean County, Cumberland County, Salem
County, Monmouth County, and Cape May County, NJ. We also
provide workers compensation insurance quotes throughout
Connecticut, Pennsylvania, and New York.
Business Name:    
Premises Address:
City:  
State:   New Jersey, CT, PA or NY
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 

About Your New Jersey Business:

Federal Employer's ID #:
Description of Operations or SIC code:


# of full-time employees:     # of part-time employees:
# of locations:     Estimated Annual Payroll: $
Experience Mod (if any, per policy)

Select all that apply to your New Jersey business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water
Other

Recent Insurance Information:

Current Insurance Company: 
Policy #: Expiration Date: (mm/dd/yyyy)
Losses past 3 years:
Description of losses or loss runs:


Which insurance coverages do you currently have:
New Jersey Commercial Auto
New Jersey Commercial Liability
New Jersey Commercial Property
New Jersey Workers Comp
New Jersey Group Health
New Jersey Group Life
New Jersey Group Disability
New Jersey Group Long Term Care
Other

New Jersey Employee Information:

Employee       Classification Code       Yearly Payroll Estimate
      1                                         $
      2                                         $
      3                                         $
      4                                         $
      5                                         $

Officers / Partners / Owners Information:

Principal             Name                                           Title                    Include
      1             
      2             
      3             

Additional Information or Comments



Click on the "Submit Quote Request" button below to send your
New Jersey Workers Compensation Insurance quote request.**


**Information received from this New Jersey Workers Compensation Insurance
quote request form sent to W.R. McClure Insurance Services, Inc. will be for our
use only and will not be sold, given to or distributed to any other parties. A quote
will be based on the New Jersey workers compensation insurance information
provided and does not guarantee acceptance of the risk by us. The precise
coverage afforded is subject to meeting underwriting guidelines, and the
terms, conditions and exclusions of the policy as issued. By submitting this
request you acknowledge that this is neither an offer to insure nor a
guarantee of insurance. Completion of this form does not entitle your business
to a New Jersey Workers Compensation Insurance policy. We are licensed
in New Jersey, CT, PA, NY, and will not provide workers comp insurance quotes
n other states.


New Jersey Business Information:
Your New Jersey
workers comp insurance
quote connection!
( also CT, PA & NY )
We offer a more affordable New Jersey
Workers Compensation Insurance policy
for your small business in Morris
County, NJ and throughout New Jersey!
W.R. McClure
Insurance Services, Inc.
230 Route 206
Building 1 - Suite 8
Flanders, New Jersey 07836
Morris County, NJ
Office: (973) 584-5850
Fax: (973) 584-3440

W.R. McClure
Insurance Services
Large enough to answer client needs and small
enough to maintain personal relationships.
W.R. McClure Insurance Services, Inc.
Copyright 2011-2017, All rights reserved
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