Get a Refund Estimate

ERNwest specializes in Washington workers’ compensation. If you are looking for a Retrospective Rating (Retro) program or account management, we can help. Since 1996, ERNwest has been helping employers like you save money, time and frustration on their workers’ compensation and have earned a reputation for being one of the most effective and knowledgeable companies in the State.

We have helped return over $300 million dollars to Washington employers through Retro programs, which are some of the highest performing in the State.

Our highly experienced and trained staff works as a team to get to know your business and provide you with the guidance and advice that is right for your company.

How do I get started?

Fill out and submit the online release form below to quickly find out if you are eligible,
or
Download the RETRO Release Form from the link below to complete and digitally sign then email to ERNwest. You can also print and fax the completed form.

Retro Release Form

Company

This field is for validation purposes and should be left unchanged.

Company name(Required)

Contact person(Required)

Title(Required)

Email(Required)

Phone

Type of business

DBA # (if applicable)

Provide L&I Num

By providing your L&I number now, an ERNwest representative will research your premium-and-loss history to determine if you qualify. Would you like to do that at this time?

Yes

Address

Street Address Address Line 2 City State ZIP Code

L&I Account ID (8-digits, numbers only)(Required)

UBI #

Are you a member of a trade association?

Other

Are you currently a member of a Retro program?

Yes

SIGN HERE* (Use your mouse or finger to draw your signature in the box below.)(Required)

*For purposes of this Agreement, use of a facsimile, e-mail, or other electronic medium shall have the same force and effect as an original signature.

Date(Required)