Workers Compensation Quote

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Interested in a workers’ compensation quote from CLA Insurance? Complete the quick and easy form below. In most cases, you will receive a quote within 48 hours.

First Name *

Last Name *

Name of Laundromat

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Years in Business:

Unemployment Insurance #:

Federal Employer ID#:

Risk ID#:

SIC:

Individual, Partnership, Corporation or Other:

Proposed Effective Date:

Expiration Date of Current Policy: