Dean Insurance
37 E. Lee Street
Bel Air, MD 21014
Phone: 410-838-3700
410-879-9030

Dean Insurance welcomes your comments and suggestions!

Please provide the following contact information for your workers comp quote:

Company Name:
Name of contact person:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Work Phone:
Home Phone:
Cell Phone :
E-mail:	*Required
Business Enity :	Corporation LLC Sole Proprietor Partnership
If incorporated, is this a "close" corporation?	Yes No
How long in Business?
Years experience in this trade?
Below please enter each occupational classification such as Carpentry, Clerical, Outside Sales, Masonry, etc. and the estimated annual payroll for each. Do Not include payroll to the owner(s) of the company.
Occupation	Estimated total annual Payroll

Please enter your questions or comments below: