Hickok & Boardman, Inc. - Home PageDescription of homeowners, auto and life insurance products offered by our agency.Description of the insurance products we offer commercial clients.Description of unique insurance programs for specialized industries or individuals with high valued homes.Get a quote by filling out the applications available here.Frequently requested forms and summary of some of the services H&B offers.Provides our history and job opportunities.



Request Additional Workers' Compensation Information

Please fill in the following information and we will contact you within the next business day.

Company Name

Email Address

Phone

Date (mm/dd/yyyy)

Please check all that apply, fill in the fields below and click Submit.

  Post-offer, pre-employment screens are used
  Employees receive orientation and training including safety and injury reporting
  A formal HR workers compensation policy exists and is available to all employees
  The employer has a formal safety management plan
  The employer has a safety committee and/or regular safety meetings
  A group of performance indicators exists and is well-publicized internally
  Supervisors are trained in safety and transitional return-to-work protocols
  Department managers are held accountable for workers compensation cost and experience in their areas
  Employees are encouraged to participate in safety planning
  The employer exercises its right to first choice of physician following an employee injury
  Accident investigations are done immediately following an injury
  The employer monitors/projects its experience modifier
  A transitional return-to-work protocol exists and is well-documented
  Employer communicates with claims adjuster regularly
  Employer reviews loss runs regularly
  Employer participates in periodic claim reviews with agent/carrier
  Case management is part of the regular lost-time claim process
  Management monitors aggregate claim cost regularly

Does the employer stay in contact with employee subsequent to injury?
Yes       No
By what means:
Telephone/Telegraph
Home Visits
Email
other
 How often:
Daily
Weekly
Monthly

Does the employer feel he/she has an adequate understanding of work comp law?
Yes       No

Is there any service not currently in place that would otherwise have a positive impact on workers' compensation experience?


What is the biggest workers' compensation challenge the employer is currently facing?


What does the employer feel would have the single biggest impact on it workers' compensation experience?

Which office is most convenient for you?
Burlington
Stowe
St. Albans
 Lyndonville
Montpelier
Waterbury

Once our agency has received your information we will contact you to discuss how we can help with your Workers' Compensation needs.

 

Here When You Need Us

Hickok & Boardman, Inc.
PO Box 1064 Burlington, VT 05402 | 802.658.3500 | fax:802.658.0541
Affiliated Companies | Privacy Policy | Contact Us

 
 
Hickok&Boardman, Inc.
  Quote Request (overview)
  Homeowners
  Personal Auto
  Business
Burlington
Stowe
St. Albans
 Montpelier
Lyndonville