Audit Dispute Form

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GOALS OF THIS GUIDE

​​LWCC conducts periodic premium audits to identify changes in operations and to obtain all documentation needed to ensure all policyholders are being charged accurate premiums. 


If you do not agree with the findings on the audit, you should first reach out to your agent and then complete the Audit Dispute Form. Audit disputes are only accepted by submitting a completed Audit Dispute Form with supporting documentation. Having a standard form makes the audit dispute process more efficient. It affords our policyholders the opportunity to provide the details of what is being disputed to assist the auditor in reviewing the audit. Audit Disputes should be submitted as soon as a discrepancy is noted. If your policy is currently pending cancellation, completing this form does not stop your policy from cancelling; although, it will be given highest priority. We are unable to accept audit disputes by phone. 


Completed Audit Dispute Forms and supporting documentation should be emailed to audits@lwcc.com.

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Related resources

Guide to Online Payroll Reporting

Monthly payroll reporting is an alternative method of premium payment that may benefit policyholders whose payroll may vary from month to month. Learn more about how to go about reporting payroll online via LWCC Interactive.

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Need to get in touch with our Safety Services team or request access to safety resources? Fill out the form and provide as many details as possible regarding your request, and we’ll get back to you as soon as possible.

2021 NCCI Miscellaneous Values & Ownership Payroll Limitation Summary

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Frequently asked questions

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How do I register as a policyholder?

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How do I register as a policyholder?

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How do I register as a policyholder?

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