Fillable Agency Relations INTERACTIVE REGISTRATION FOR AGENTS (Louisiana Workers' Compensation Corporation)

Fill Online, Printable, Fillable, Blank Agency Relations INTERACTIVE REGISTRATION FOR AGENTS (Louisiana Workers' Compensation Corporation) Form

Use Fill to complete blank online LOUISIANA WORKERS' COMPENSATION CORPORATION pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Agency Relations INTERACTIVE REGISTRATION FOR AGENTS (Louisiana Workers' Compensation Corporation)

On average this form takes 8 minutes to complete

The Agency Relations INTERACTIVE REGISTRATION FOR AGENTS (Louisiana Workers' Compensation Corporation) form is 1 page long and contains:

  • 2 signatures
  • 20 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Louisiana Workers' Compensation Corporation forms online.

BROWSE LOUISIANA WORKERS' COMPENSATION CORPORATION FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
INTERACTIVE REGISTRATION FOR AGENTS
For 24-hour-a-day, secure access to your agency and client information
Please print clearly. *Asterisks denote required fields.
User’s Access: You must authorize the above user to access the agency’s information and designate the screens to which the user
may or may not have access. *Please check any of the LWCC Interactive screens below that are required for the above user’s access.
Please email the completed and signed form to information@lwcc.com. e registrant will be emailed once they are set-up.
e registrant will use their email address as their user name and will be instructed to create a password. As an added
security measure, users are required to change their password every 120 days. For further assistance, please contact us at
(225) 231-0812.
I verify that the above information is correct. By signing, I authorize the access for this user indicated above and understand that
the user will have this access until I notify LWCC otherwise.
*Date:
*Phone:
*Users’ Signature
*Principal’s name (please print):
*Principal’s signature:
*User’s name: *User’s role:
Have you had an Interactive account before? yes no
New Account Delete Account
Administrator Marketing Rep
Account Manager Producer
Principal
*Agency #: *Agency Name:
*Email:
Prior Agency Name:
Agency Relations
Agency information
Agent communications
Agent experience report
Agent manual
Claims reporting
Claims analysis
CompZone
Installment schedule
Invoice reprint
Loss run report
OMNET provider search
Payroll and audit recap
Pending cancellation report
Policy declaration page print
Policy financial transactions
Policy information
Policy profile
Policy renewal report
Resource order form
Team assignments
click to sign
signature
click to edit
click to sign
signature
click to edit
Bettering Louisiana one business and worker at a time.
Corporate Headquarters
2237 South Acadian Thruway
Baton Rouge, LA 70808
(225) 924-7788
LWCC.COM | INTERACTIVE.LWCC.COM
Getting online access is easy.
LWCC Interactive is a password-protected Web site available only to LWCC policyholders and agents. It allows you
24-hour-a-day access to current information (updated daily) about your agency’s LWCC workers’ compensation
policies. LWCC Interactive was developed to make doing business with us easier for you. Just complete the
registration form and mail or fax it to us today. You will use your email address as your user name and you will be
instructed to create a password. To log on to LWCC Interactive, go to lwcc.com and click on “Login to Interactive”
located in the upper right-hand corner of the window. If you forget your password, you can automatically retrieve
it by clicking on the “Forgot Password?” link on lwcc.com. Or you can send an e-mail request to information@lwcc.
com or call 800-227-4969.
See what you’ve been missing…
Additional Features
CompZone: LWCC’s Online Business Center
With CompZone you can submit new business applications online and even upload new business
applications from one of the following agency management systems: Applied (WinTams), AMS-AFW, AMS-
Sagitta, and very soon AMS360 and Prime. CompZone is also the vehicle where agents process renewal
policies and request endorsements to existing policies
Agent Manual
You can access LWCC’s agent manual online via LWCC Interactive. Forms, rate tables, and explanations of all
LWCC policies and procedures are all available for you to view and download.
Loss Runs (Claims Detail Reports)
This feature gives details of all claims reported to LWCC. It gives a breakdown of all payments made and
shows the reserves that have been set on all open claims.
Claims Reporting
Because claims reported late cost up to 45 percent more than those reported promptly, we want to make it
as easy as possible for you to report a claim to us. To le a claim online, just complete the simple form and
submit.
Claims Analysis
We know many of you serve in either an ofcial or unofcial capacity as risk managers for your insureds.
To assist you in this role, you can analyze claims by accident type, class code, day of week, age, occupation,
experience level, and other criteria.
Policy Declaration Page
This feature allows you to view either the current or future policy declarations for each of your insureds.
+ Agent Experience Report
+ Pending Cancellation Report
+ Payroll and Audit Recap
+ Flex Pay Schedule
+ Policy Renewal Report
+ Policy Prole
+ Invoice Reprint
+ Team Assignment
+ Safety Meetings
+ OMNET Provider Search
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Agency Relations INTERACTIVE REGISTRATION FOR AGENTS (Louisiana Workers' Compensation Corporation)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 29 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document