IWCC Employer Insurance Coverage Form

The IWCC announced a new Request for Information on Employer's Insurance Coverage form is available.  This new form (Form IC46) is used when an individual needs information regarding an employer's workers' compensation insurance coverage.  The new form replaces Form IC42 (with the same name).

The IWCC announcement does differentiate between requesting employer insurance information and requesting an investigation into an uninsured employer.

Send the Request for Information (IC46) to Yvonna Castronova, Supervisor of the Information Unit. Upon receipt, the Information staff will research the available resources and send you a report on what was found.

If you wish to ask the Insurance Compliance Staff to investigate an employer you believe to be uninsured, contact Robert Ruiz, Manager of the Insurance Compliance Division. Please understand that if an investigation is launched, we cannot share information about an investigation with you.