Submission Process

The Berkley Industrial Comp Underwriting Process

Our industry expert staff of Underwriting professionals diligently vet all the submissions that we receive from our agent and broker partners. Properly and fully completed applications allow us to proceed more quickly with our underwriting process, eliminating costly delays and enables us to provide you with timely, accurate and responsive quote proposals.

Want to know more about our workers' compensation appetite?

Five years of currently valued loss runs

Accounts valued > $100k in annual premium should be submitted at least 60-90 days in advance of the expiration date

Accounts valued < $100k in annual premium should be submitted at least 30 days in advance of the expiration date

New business submissions will not be accepted sooner than 120 days in advance of the expiration date

All completed submission forms must be sent to arjohfvarff@orexvaqpbzc.pbz

Acord 125 - Application Information Section

Acord 130 - Workers Compensation Information Section - including a brief narrative of operations

Berkley Industrial Comp Supplemental Application - Download Below

Experience Modification Worksheets - copies of the current year and prior year Emod worksheets

Drivers List - a current drivers list for Haulers and any other account with significant automobile fleet or powered haulage exposure

In addition to the submission forms, we require personal bios/resumes of the principals and copies of the formal business plan and pro-forma financial projections.

New Submissions

Please submit all necessary forms or requirements listed above with any submission.