# Send in a submission ## Getting a quote for tech-driven workers' comp has never been easier Two simple steps to a fast, accurate quote. ## Step 1: ###### Review submission requirements Make sure your submission meets the minimum premium size of $50,000 ($100,000 for construction risks), is in appetite, and includes all required information: - ACORD 130 - Current and 3 prior policy periods of loss runs - Ex-Mod Worksheet (required for all parcel submissions, requested for other industries) - Agency Code Download and complete industry-specific supplemental documentation: - [Construction Questionnaire](https://kineticcomp.com/hubfs/Questionnaires/Contractor%20Supplement1%2012272023.pdf?hsLang=en) - [Hotel Questionnaire](https://kineticcomp.com/hubfs/Questionnaires/Hotel%20Questionnaire.pdf?hsLang=en) - [Janitorial Questionnaire](https://kineticcomp.com/hubfs/Questionnaires/Janitorial%20Questionnaire.pdf?hsLang=en) - [Manufacturing Questionnaire](https://kineticcomp.com/hubfs/Questionnaires/Manufacturing%20Questionnaire.pdf?hsLang=en) - [Parcel Delivery Questionnaire](https://kineticcomp.com/hubfs/Questionnaires/Parcel%20Delivery%20Questionnaire.pdf?hsLang=en) - [Trucking Questionnaire](https://kineticcomp.com/hubfs/Questionnaires/Trucking%20Supplemental%20Questionnaire.pdf?hsLang=en) - [Wholesale Questionnaire](https://kineticcomp.com/hubfs/Questionnaires/WholesaleDistributor%20Questionnaire.pdf?hsLang=en) _Note: Kinetic supplementals are optional if you already have a document on file or your own supplemental document to accompany the submission._ ## Step 2: ###### Email your submission with the required documents to [**submissions@kineticcomp.com**](mailto:submissions@kineticcomp.com) ###### Have questions? Review our ###### [FAQ for brokers](https://kineticcomp.com/faq?hsLang=en) ## Need help? Get in touch with our Underwriting Team. [submissions@kineticcomp.com](mailto:submissions@kineticcomp.com) #### Frequently asked questions Submissions can be sent 90 days before the policy effective date. Email them to [submissions@kineticcomp.com](mailto:submissions@kineticcomp.com). Incomplete submissions won't be reserved. Kinetic does not accept broker of record (BOR) or broker of service (BOS) requests. If your clients operate in the states below, review the Drug-Free Credit Application for eligibility. - [Alabama](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Alabama%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Arizona](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Arizona%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Florida](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Florida%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Georgia](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Georgia%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Idaho](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Idaho%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Kentucky](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Kentucky%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Maryland](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Maryland%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Mississippi](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Mississippi%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Tennessee](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Tennessee%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) - [Virginia](https://kineticcomp.com/hubfs/Drug%20Free%20Credit%20Applications/Virginia%20Drug%20Free%20Credit%20Application.pdf?hsLang=en) Find state-specific documents for deductible waivers below. - [Alabama](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/AL%20Deductible%20Offering%201015.pdf?hsLang=en) - [Arkansas](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/AR%20Deductible%20Offering.pdf?hsLang=en) - [Colorado](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/CO%20Deductible%20Offering.pdf?hsLang=en) - [Delaware](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/DE%20Deductible%20Offering.pdf?hsLang=en) - [Florida](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/FL%20Deductible%20Offering.pdf?hsLang=en) - [Georgia](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/GA%20Deductible%20Offering.pdf?hsLang=en) - [Hawaii](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/HI%20Deductible%20Offering.pdf?hsLang=en) - [Illinois](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/IL%20Deductible%20Offering.pdf?hsLang=en) - [Indiana](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/IN%20Deductible%20Offering.pdf?hsLang=en) - [Kentucky](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/KY%20Deductible%20Offering.pdf?hsLang=en) - [Massachusetts](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/MA%20Deductible%20Offering.pdf?hsLang=en) - [Maine](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/ME%20Deductible%20Offering.pdf?hsLang=en) - [Montana](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/MT%20Deductible%20Offering.pdf?hsLang=en) - [Nebraska](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/NE%20Deductible%20Offering.pdf?hsLang=en) - [New Hampshire](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/NH%20Deductible%20Offering.pdf?hsLang=en) - [New Mexico](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/NM%20Deductible%20Offering.pdf?hsLang=en) - [New York](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/NY%20Dividend%20Plan.pdf?hsLang=en) - [Oklahoma](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/OK%20Deductible%20Offering.pdf?hsLang=en) - [Pennsylvania](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/PA%20Deductible%20Offering.pdf?hsLang=en) - [South Carolina](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/SC%20Deductible%20Offering.pdf?hsLang=en) - [Texas](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/TX%20Deductible%20Offering.pdf?hsLang=en) - [All States](https://kineticcomp.com/hubfs/Underwriting%20documents/Deductible%20Waivers/Ded%20All%20States.pdf?hsLang=en) When there is an officer excluded from the policy then state specific officer exclusion forms also need to be attached. Find state specific forms below. - [California Partners & Managing Member](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/CA%20Partners%20and%20Managing%20LLC%20Member%20Waiver%20(not%20applicable%20to%20non-profits).pdf?hsLang=en) - [California Directors](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/CA%20Waiver%20Corporate%20Officers%20Directors%20Exclusion%200718.pdf?hsLang=en) - [Colorado](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/CO%20rejection398_partab.pdf?hsLang=en) - [Delaware](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/DE%20Officer%20Exclusion%20form.pdf?hsLang=en) - [Georgia](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/GA%20Election%20or%20Rejection%20of%20Wc%20-%20form%20WC010.pdf?hsLang=en) - [Maryland](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/MD%20Exclusion%20Form%20IC-16.pdf?hsLang=en) - [New Jersey](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/NJ%20Proprietors%20%26%20Partners%20Election%20Form-PP-1B%20(1).pdf?hsLang=en) - [Pennsylvania](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/PA%20Officer%20Exclusion%20Form.pdf?hsLang=en) - [South Carolina](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/SC%20Officer%20Exclusion%20Form%205.pdf?hsLang=en) - [Tennessee Corporate Officer](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/TN%20Corp%20Officer%20Rejection.pdf?hsLang=en) - [Tennessee Sole Prop, Member, or Partner](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/TN%20Election%20for%20Sole%20Prop%2c%20Partner%2c%20Member.pdf?hsLang=en) - [Vermont](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/VT%20Form%2029%20rev%2011-22-Fill-in%200fficer%20or%20Member%20Exclusion.pdf?hsLang=en) - [Wisconsin](https://kineticcomp.com/hubfs/Underwriting%20documents/State%20Exclusion%20Inclusion%20forms/WI%20Officer%20Exclusion%20-%20form%20WKC-7602-e%20WI.doc?hsLang=en)