MOSIER
INSURANCE AGENCY
PO Box 2149
Lakeside, CA 92040
Phone:   (619) 749-1102
Fax:   (619) 334-1192

Member of Professional Insurance Associates, Inc.

Links

Below are some forms and links that might be useful.

Here are links to commonly used forms and information.  Click on the link and the form will open in a PDF file that you can complete, print and send to us. Please remember that you cannot save the data in the file and once you close the file you will lose the data you have filled in.

General Forms and Supplements:

Bid and Final Bond Request Form

Request for Certificate of Insurance

Workers Compensation Supplement

Contractors Supplement

Personal Financial Statement

State Compensation Fund Supplement

Benefits Employee Census

Accord Forms:

Commercial Insurance Application 125

Commercial Liability Application 126

Property Application 140

Workers Compensation Application 130

Driver List 163

Information Pages:

Employee vs. Independent Contractor

AcuComp Features
Below are links to commonly used web sites that might be of help to you.  Just click on the title you are interested in and it will open in a new web page.



Links to websites:

Anthem Medical Quote

State Contractors License Board

AcuComp

AM Best Rating

California Department of Motor Vehicles

California Department of Insurance

USPS Domestic Rate Calculator

SIC Codes

Workers Compensation Class Codes

Bolt You

Free Perscription Drug Card

Web Hosting Companies