Pa swif forms

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State Workers' Insurance Fund Home

The application can be downloaded via Application for Workers' Compensation Coverage form (SWIF-429). Please email [email protected] for any general questions regarding SWIF. Our teams are remotely working as quickly as possible to process work. SWIF CLAIMS & COVID-19 

Customer Service

Email SWIF: For Certificates: [email protected] For Changes to Ownership: [email protected] For Cancellations or Reinstatements: [email protected] For Broker Changes, Address Changes, Etc.: [email protected] For Changes to Payroll, PCRB Mods & Merit Ratings, Alternate Employers: [email protected] OR FAX SWIF: 570.963.3079 … 


email: [email protected] fax: 570-963-3079 or 570-941-2109 Please be advised it is the State Workers’ Insurance Fund’s policy to issue certificates as follows: • Brokers/agencies are NOT legally permitted to issue certificates of insurance on SWIF’s behalf 

Contact Information

Contact Information. State Workers' Insurance Fund. 100 Lackawanna Avenue. P.O. Box 5100. Scranton, PA 18505-5100. (570) 963-4635. Send comments or questions to LI, E-mail-SWIF. Please note that this e-mail address is for commentary or information purposes only. No coverage may be bound or altered via this e-mail address. 

Frequently Asked Questions (FAQs)

Apr 01, 2021 · An Officer Exemption Form is only necessary for Corporations, since Sole Proprietors and Partners are automatically excluded from coverage. These Forms can be obtained from SWIF or the Bureau of Workers' Compensation, 1171 S. Cameron Street, Harrisburg, PA … 


State Workers’ Insurance Fund . Attn: Chief Financial Officer . 100 Lackawanna Ave. Scranton Pa. 18503 . Or emailed to [email protected] . In addition to the above, Contractor will be responsible for submitting status reports on each file referred within 15 days of the assignment. Subsequent status reports are due at 30, 60 and 90-day 

Email Remittance Signup Form - Office of the Budget

If experiencing difficulty with the “Submit” button, please copy and paste the form information and email the information to: [email protected] . Allow 3-5 business days for processing of E-Remittance form. E-Remittance emails will be initiated within two (2) … 

Home Page []

Commonwealth of Pennsylvania - Unclaimed Property P.O. Box 783473 Philadelphia, PA 19178-3473. 800-379-3999. [email protected] 

PA.GOV | The Official Website for the Commonwealth of

The official website of the Commonwealth of Pennsylvania. Find information and services from Pennsylvania state government agencies.