Policyholder Interactive Enrollment Form

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Policyholders who would like access to LWCC Interactive and have not received security credentials to enroll may complete the LWCC Interactive registration form.

Print and complete the form, and fax or mail it back to LWCC. You will receive an email with a link to complete the enrollment process. Click the button below to download the PDF of the form.

Please email the completed and signed form to information@lwcc.com. The registrant will be emailed once they are set-up. The registrant will use their email address as their username and will be instructed to create a password. As an added security measure, users are required to change their password every 120 days. For further assistance, please contact us at (225) 231-0812.

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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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