California Workers Comp Insurance Quotes from Michaud Insurance Agency - Fast CA Workers Compensation Insurance quote for California residents and businesses

California commercial and business insurance quotes from Michaud Insurance Agency

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Local Phone: 661-633-9900
Fax: 661-633-2089

Contact Address:
Michaud Insurance Agency
201 California Avenue
Bakersfield, CA 93304

"Remember, All Our Policies Come With an Agent!"
commercial insurance for California from Michaud Insurance Agency

On-Line Workers Compensation Quote Form One Simple Form - takes only 2-3 Minutes! Your Personal / Company Data:
Your Name:
Your Company's Name:
Street Address:
City:
State: (Must be California)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again (for accuracy):
Phone:
Fax (optional):


Currently Insured? (If yes, list carrier, and # of years continuous. If none, type NONE)

List Claims & Amounts Paid (If none, type NONE)

Years In Business:

Business type: (proprietorship, corporation, etc.)


Underwriting Information:

Describe IN DETAIL, Your Business Operations:

Payroll Class #1:
List Class Code # if you know it, and describe payroll class:	Insert Annual Payroll in dollars for this class here:	$

Payroll Class #2: (if none, leave blank)
List Class Code # if you know it, and describe payroll class:	Insert Annual Payroll in dollars for this class here:	$

Payroll Class #3: (if none, leave blank)
List Class Code # if you know it, and describe payroll class:	Insert Annual Payroll in dollars for this class here:	$


Send my quotation via:	E-Mail Fax Regular Mail

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