Forms

This page provides centralized access to the forms required to conduct business within the Pennsylvania workers’ compensation system. These forms support critical functions including policy reporting, experience rating, classification inquiries, eligibility determinations, premium adjustments, and membership administration.

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Getting Started & Membership

For carriers and employers establishing or updating their relationship with PCRB.

Ownership & Executive Officer Information

For reporting ownership details and officer status.

Classification & Rating Plans

For classification questions and accessing rating plans.
  • CIF – Classification Inquiry Form
  • ERM-6 – Experience Rating – Former Self-Insurers Data Request
  • Workplace Safety Program – Delaware Workplace Safety Program
  • DCCPAP – Delaware Construction Classification Premium Adjustment Program

Coverage Status & Special Exposures

For confirming coverage status or reporting unique exposures.
  • QNCC-DE – No Current Insurance Coverage Questionnaire

Latest News

Approval of Amended DCRB Filing No. 2602 – Workers Compensation Residual Market Rates and Voluntary Market Loss Costs, Effective December 1, 2026

Approval of DCRB Filing 2604 – Residual Market Surcharge Methodology Revision – Effective December 1, 2026