Here you'll find a variety of forms and reports for your convenience.

Administrative:

• Change of Address
  

• Audit Dispute Form
  

• Quote Request Form (for new coverage)
  

First Notice of Loss:   Use this form to document and report the details of your loss. We have several ways you can report a claim.

• Workers' Compensation Claim
  

Certificates of Insurance

• Get a workers' compensation certificate of insurance on a current policy. You will need a valid policy number.
  

• You can get a certificate of coverage from your agent.
  

Loss Runs

• Here you can find your own loss run report on a current policy.
  

• You can get a loss run report from your agent, or by completing this request form.
  

Third Party Administration (TPA)

We realize you have unique data reporting requirements. We provide you with recurring reports, customized for your business. We also provide a secure self-service tool for you to access your own historical data. For information on how to access this service, please contact your account manager.

Georgia TPA clients

• Access client reports
  

• Access RMX portal
  

South Carolina TPA clients

• Access client reports
  

Access Certificates & Reports

We understand how important information is to your business. Here is where you will find a variety of helpful reports.

SOUTH CAROLINA AUTOMOBILE DEALERS ASSOCIATION

SCADA

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Workers' Compensation website

Companion TPA

P.O. Box 100159,  Columbia, South Carolina 29202

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