Classification Request Form Application Disclaimer and Conditions
The online Classification Request Form Application enables individuals to
request a specific employer’s workers’ compensation classification codes
and the percentage of payroll associated with each classification code.
This application is being provided by the Workers’ Compensation Rating
and Inspection Bureau of Massachusetts (“WCRIBMA”) at the request of the Massachusetts
Department of Industrial Accidents and the Joint Enforcement Task Force on the Underground
Economy and Employee Misclassification. Use of the Classification Request Form Application
is conditioned upon your acceptance of and compliance with the terms, conditions and notices
stated herein.
Each submission of a Classification Request Form will constitute both your acknowledgment that
you are requesting a particular employer’s classification information to help determine whether
premium evasion fraud may be occurring through misclassification or otherwise and your understanding
that the WCRIBMA has a statutory obligation to report fraudulent insurance transactions to the
Insurance Fraud Bureau.
The WCRIBMA assumes no responsibility or liability for damages of any kind arising from reliance on
the information generated by use of this Classification Request Form Application.