Loss Control Forms

Application for Drug-Free Workplace
Premium Credit Program
Policyholders in Florida can qualify for a credit if they have a drug-free workplace program in place. They must complete this form and have it notarized to apply for the credit.

Application for Employer
Workplace Safety Program Credit
Policyholders in Florida can qualify for a credit if they have a safety program in place. They must complete this form and have it notarized to apply for the credit.