Request A Proposal or Speak with an HR Consultant

WPPS-TEST

REDUCE COSTS AND FREE UP TIME WITH CBR’S HR SERVICES

Your Company Information
Your Company Name**
Person Requesting**
Phone Number**
Email:*
Certificate Holder Information
Certificate holder is the company requesting a certificate from your company. (Enter information exactly as you want it to appear on the certificate.)
Company name**
Attention
Address*
Street Address Address Line 2 City State ZIP Code
Email**
Job or Location Reference (if applicable)
Job
Locations
Waiver of Subrogation required?
Waivers of subrogation (WOS) should NEVER be requested unless required by the certificate holder.
- It is not in your best interest to waive rights unless required to do so.
- Please allow 2-4 days for delivery of the WOS
- Carrier fees apply to waivers. (Typically 2% of premium with $1,000 minimum.)
By clicking "Yes" you request a Waiver of subrogation and agree to the fee. (Fee will be assessed on the next invoice.)
Waiver of Subrogation
- Yes
- No
Questions?
- Phone: 602-200-8500 x2046
- Email: RiskAdmin@cbri.com
Additional Notes
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Phone
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REQUEST A PROPOSAL OR SPEAK WITH AN HR CONSULTANT

Call us at (602) 200-8500 or request a proposal and an HR Consultant will contact you to discuss customized HR services for your business.