Assessment Reporting

Notice to Insurers using the Board’s fillable Quarterly Report:

The form is designed to treat an entry on line 2, 3 or 4 as a credit - numbers entered on these lines are calculated as negative without a negative sign. If you enter a negative sign (hyphen) the form will ADD the amount instead of deducting it from the gross employer premium base. Please check your forms before you calculate payments and submit to the Board. If you have any questions, please contact Jan Adams.

Fillable Report (PDF) Quarterly - FY 2025 2nd Quarter

Fillable Report (PDF) Quarterly - FY 2025 1st Quarter

Fillable Annual Reconciliation (PDF) - FY 2024 Note: Annual Reconciliation forms must be signed by the company's or association's chief financial officer. Electronic signatures are permissible.

Fillable Report (PDF) Quarterly - FY 2024 4th Quarter

Fillable Report (PDF) Quarterly - FY 2024 3rd Quarter

Fillable Report (PDF) Quarterly - FY 2024 2nd Quarter

Fillable Report (PDF) Quarterly - FY 2024 1st Quarter