Lindsey Insurance Group of
Stone Mountain, GA offers
comprehensive Commercial
Insurance coverage options
and experienced business
insurance services in the
Atlanta area and throughout
Georgia.
Contact us about Workers
Compensation, Commercial
Auto, and Liability
Insurance for your Georgia
business at (770) 510-4328.
In addition to Workers Comp
Insurance, we also offer
affordable Business Liability
Insurance plan services.
We are your local Atlanta, GA area insurance agency, offering
comprehensive Georgia workers compensation insurance coverages to
businesses located in the following cities and counties: Stone Mountain,
Alpharetta, Buckhead, Canton, Cumming, Buford, Braselton, Sugar Hill,
Hoschton, Gainesville, North Atlanta, Tucker, Pine Lake, Mountain Park,
Glen Haven, Clarkston, Belmont, Redan, Pittsburg, Lilburn, Luxomni,
Snellville, Five Forks, Centerville, Caleb, Zingara, McElroys Mill, Rosebud,
Grayson, Loganville, Walnut Grove, Youth, Between, Windsor, Nicholasville,
Alcovy Mountain, Bold Springs, Campton, Monroe, Jersey, Whitney,
Pannell, Lithonia, Panthersville, Dialtown, Flint Hill, Conyers, Milstead,
Klondike, Panola, Snapfinger, Magnet, Gloster, Bethesda, Pleasant Hill,
Norcross, Pittman, Mechanicsville, Meadow, Duluth, Berkeley Lake,
Lawrenceville, Forest Hills, Suwanee, Scottdale, Belvedere, Northwoods,
East Lake, Decatur, Avondale Estates, Rehoboth, North Decatur, East
Atlanta, Dunwoody, Oakhurst, Druid Hills, La Vista, Brookhaven, Roswell,
Doraville, Marietta, Smyrna, Winder, Auburn, Gwinnett County, Dekalb
County, Rockdale County, Walton County, Newton County, Hall County,
Barrow County, and Fulton County, GA.
Georgia Workers
Compensation Insurance Quote
We provide comprehensive Workers Comp Insurance services throughout Georgia!
Business Name:    
Premises Address:
City:   Georgia
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 

About Your Georgia Business:

Federal Employer's ID #:
Description of Operations or SIC code:


# of full-time employees:     # of part-time employees:
# of locations:     Estimated Annual Payroll: $
Experience Mod (if any, per policy)

Select all that apply to your Georgia business:
Operate or lease aircraft/watercraft     Work Underground
Work above 15 feet                           Require out of state travel
Use Subcontractors                            Delivery Service
Pre-employment physicals                   Offer safety incentive programs
Store, treat, dispose, or transport hazardour waste
Work on vessels, docks, or bridges over water
Other

Recent Insurance Information:

Current Insurance Company: 
Policy #: Expiration Date: (mm/dd/yyyy)
Losses past 3 years:
Description of losses or loss runs:


What types of coverages do you currently have:
Commercial Auto
Commercial Liability
Commercial Property
Workers Comp
Group Health
Group Life
Group Disability
Group Long Term Care
Other

Georgia Employee Information:

Employee       Classification Code       Yearly Payroll Estimate
      1                                         $
      2                                         $
      3                                         $
      4                                         $
      5                                         $

Officers / Partners / Owners Information:

Principal             Name                                          Title                    Include
      1             
      2             
      3             

Additional Information or Comments



Click on the "Submit Quote Information" button below to send your
Georgia Workers Compensation Insurance quote request.**

**Information received from this Georgia Workers Compensation Insurance
quote request form sent to Lindsey Insurance Group will be for our use only
and will not be sold, given to or distributed to any other parties. A quote will be
based on the workers compensation insurance policy information provided
and does not guarantee acceptance of the risk by us. The precise
coverage afforded is subject to meeting underwriting guidelines, and the
terms, conditions and exclusions of the policy as issued. By submitting this
request you acknowledge that this is neither an offer to insure nor a
guarantee of insurance. Completion of this form does not entitle your
business to a Georgia Workers Compensation Insurance Policy. We are
licensed in Georgia and will not provide quotes for other states.


Georgia Business Information:
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LINDSEY
Insurance Group
Stone Mountain, Georgia
Atlanta, Georgia
Copyright 2006-2008 John Lindsey & Associates, Inc. - All rights reserved
Lindsey Insurance Group
2305 West Park Place Blvd.
Suite A
Stone Mountain, Georgia 30087
Gwinnett County, GA
(770) 510-4328
Toll Free: 800-659-1232 ext. 4328
Fax: (770) 465-9691
GA Workers Comp Insurance Quote