Insurer Access Request

Fill out the form as completely and accurately as possible and click 'Submit Request' to forward the request to the FWCJUA. We will review the request to ensure all required information is accurate. Once the verification is complete, you will be notified via the email submitted.

  FL Comp Code / NAIC Code

To continue with the request, we need either a FL Comp Code or NAIC Code for a carrier authorized to sell Workers Compensation Insurance in the state of Florida. The code will be verified when the  Next   button is clicked.