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Kinetic

Kinetic

Reinventing Workers Comp Insurance in the Age of Technology.

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  • Submit a Risk
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Supplemental Documents

If you request a quote that requires supplemental materials, please find them below.

Once you have filled out all required materials, please email your completed submission to submission@kinetic-insurance.com

Standard Questionnaires

Agriculture Questionnaire

Auto Dealer Questionnaire

Auto Oil Lube Questionnaire

Country Club Questionnaire

Grocery Questionnaire

Home Healthcare Questionnaire

Hospital Questionnaire

Hotel Questionnaire

Janitorial Questionnaire

Manufacturing Questionnaire

Nursing Home Questionnaire

Parcel Delivery Questionnaire

Physician Questionnaire

Restaurant Questionnaire

Towing Questionnaire

Wholesale Questionnaire


Drug Free Credit Applications

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What We Do

  • Safety Technology
  • Appetite guide

For Brokers

  • Get Appointed
  • Submit a RIsk

Resources

  • Case Studies
  • Contact us

Workers comp insurance that works
smarter for brokers and policyholders.

(833) 550-0388
info@kinetic-insurance.com
California License #6005906

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