The Delaware Compensation Rating Bureau, Inc. (DCRB) is the workers’ compensation rating authority for the state of Delaware referenced in your workers’ compensation policy. As the rating authority, the DCRB maintains proof-of-coverage records for the commonwealth.
To respond to the DCRB inquiry regarding your workers compensation insurance status, the form must be completed and returned to the DCRB.
|Mail:||Delaware Compensation Rating Bureau, Inc.
Attn: Experience Rating
30 South 17th Street, Suite1500
Philadelphia, PA 19103
If you have questions regarding the form or what is required, contact the Underwriting & Coverage Compliance Section for further instructions.
Click on the link below to open the PDF form. The form may then be saved to your computer for completion.