Licensed Casualty Agents and Brokers may register for WCIRB Connect® by completing the form below. Registration requests will be processed as soon as possible. Based on the volume of responses, it may take up to 10 business days to complete a registration. Organizations that need 25 or more user accounts must use the WCIRB Connect® for Agencies and Brokerages (Business Entities) registration form.
Requirements for Registration
- Have a valid California casualty broker – agent license.
- Have an individual specific email address.
- Accept the WCIRB Website Access Agreement – Casualty Brokers-Agents below.
The fields marked with an asterisk (*) in the form below are required.