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Workers' Compensation Board

Board Assessments

Quarterly Unified Employer Assessment

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Confirmation of Submission to the Board

You will receive a no-reply email from the WCB when your email is received. If you do not receive a confirmation email, then the Board did not receive your form. Please try to attach a saved version of the form to an email to If you still do not receive an email confirmation, please contact the Board by sending an email to or calling (800) 697-1323 [ Monday - Friday 7:00 AM -7:00 PM ]

Questions may be sent to: