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Get A Quote 2021

Get A Quote 2021

Please complete the form below to grant us a temporary authorization to review your information. 

PPS offers several ways to reduce your workers compensation premiums including Group Rating, Group Retrospective Rating, Grow Ohio Program and many others.

Once completed we will receive your risk history form the Ohio BWC and we will develop a specific plan for your company.


Policy Number
Entering your name in the textbox below constitutes an electronic signature.
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.

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