Class Code Addition/Removal Form

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Please complete the form below.  The information you provide will only be used to help us serve you better. It will not be sold or distributed. Please see our Privacy Statement for more details. 
 
Go to the NCCI Agent Class Code Lookup 

Changes in class codes may depend upon the state of exposure and date within the policy period of the change.

 

* Required Fields

* Is this form being submitted by the Agent or the Policyholder?
Agent
Policyholder
If submitted by agent, Agent #
* First Name
* Last Name
* Phone
* Email
* Policy #
Add Class Code & State
Remove Class Code & State
* Reason for Change


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