2016 Group Rating 2-Hour Education needs completed before June 30, 2017, To enroll in a 2-hour CSI webinar Click Here
Complete the following to determine your eligibility for group rating, Group Retrospective Rating and other discount programs.
Compensation Solutions Inc. provides this service with no charge or obligation.
If you wish to mail or fax an AC-3 Form please remit to the following address or by fax:
Compensation Solutions, Inc.ATTN: Group Rating470 Village Park DrivePowell, Ohio 43065Phone: (888) 776-7723Fax: (888) 776-7741
*Entering your name below constitutes an electronic signature.
Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.
A: B: Click to Move
470 Village Park DrivePowell, Ohio 43065
Phone (614) 799-8439 | Toll Free (888) 776-7723 | Fax (888) 776-7741 |