Send in a submission
Getting a quote for tech-driven workers' comp has never been easier
Two simple steps to a fast, accurate quote.
Step 1:
Review submission requirements
Make sure your submission meets the minimum premium size of $50,000 ($100,000 for construction risks), is in appetite, and includes all required information:
ACORD 130
Current and 3 prior policy periods of loss runs
Ex-Mod Worksheet (required for all parcel submissions, requested for other industries)
Agency Code
Download and complete industry-specific supplemental documentation:
Note: Kinetic supplementals are optional if you already have a document on file or your own supplemental document to accompany the submission.
Step 2:
Email your submission with the required documents to
submissions@kineticcomp.com
Have questions? Review our
FAQ for brokers

Need help? Get in touch with
our Underwriting Team.
Frequently asked questions
How do I submit accounts for underwriting review?
Submissions can be sent 120 days before the policy effective date. Email them to submissions@kineticcomp.com. Incomplete submissions won't be reserved.
Do you accept a broker of record or broker of service?
Kinetic does not accept broker of record (BOR) or broker of service (BOS) requests.
Where can I find drug-free workplace credit applications?
Where can I find deductible waivers?
Find state-specific documents for deductible waivers below.
Where can I find forms for officer exclusions from the policy?
When there is an officer excluded from the policy then state specific officer exclusion forms also need to be attached. Find state specific forms below.