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Application forms

To expedite the underwriting process, our forms and applications are posted below.

Send us your submissions online.
Need a quote today? Call us at 610.808.9586!

Joe Mossbrook

Jim Gara, Program Director

One of the country’s leading experts on workers’ compensation insurance, Jim Gara is continually raising the bar for workers’ comp solutions that make agents’ lives easier as he leads the ongoing expansion of AllComp Solutions.

[email protected]

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Call us at 610.808.9586 or send a submission and request more information.