Are the experience modifier and rates verified?

We extract the values shown on the form. Rate verification is on the roadmap and will integrate with NCCI lookups.

ACORD 130

ACORD 130 Workers Compensation Application to Spreadsheet

Drop in a workers comp application and get the experience modifier, class codes, payrolls, prior losses, and state coverage as structured rows.

Drop a PDF or click to browse

Up to 20 MB · ACORD, COI, loss runs

5 free extractions on every account. No credit card required.

Class codes table with payroll and rate per state.

Prior losses extracted with date, description, and amount.

Captures policy effective and expiration dates in ISO format.

Are the experience modifier and rates verified?: We extract the values shown on the form. Rate verification is on the roadmap and will integrate with NCCI lookups.

100 documents/month on Starter, 500 on Pro, 2,000 on Agency. Self-serve, cancel anytime.