Home Important Links Knowledge Base Internal LMS Services  
 
 
 
 
 
 
 
 
 

 
Workers Comp and OSHA Recordkeeping Program

Online Safety Training and LMS Service Program

OSHA Recordkeeping
and
workers comp
first reports of injury

About Zurich

FirstReport Online Order Form

FROL - FirstReport Online Recordkeeping for OSHA and workers comp first reports of injury. The order must be placed by a Zurich Rep for the Customer.

Thank you for ordering the FirstReport Online Service. Account Activation is usually completed within two to five business days, depending on the size of the organization.

Pricing is based on the "Average number of Employees" formula used by OSHA.

Account setup and User training time will vary depending on organization size and the availability of your staff.  Typical basic User online training takes about one hour.

All customer charges will be handled by Zurich per the order instructions entered here. Therefore it is important to be accurate and complete.

    
Billing Contact Name
Billing Contact Title
Company
Address 1
Address 2
City
State
Zip
Phone
Billing Email
Company Website
Type of Business
Multiple FEIN's (Yes)
Number of Employees
Number of Locations
Number of Users (est.)
Market Segment
SSCGID Number
Billing Code
Contract Number
Your Name
Your email
Your Phone
Your Rep Code
Your Position
Comments

Need help loading locations?

Download the spreadsheet template and email it to us. We will load it into you account overnight. » more

TrainFirst LMS Estimates