Who we are and how we serve insurers, agents, and Washington state residents.
Engaging thought leadership on key insurance industry issues from our CEO.
Get to know the team behind WSRB’s trusted data and excellent customer service.
Learn about the benefits of working at WSRB and apply for open positions.
A guide to key risks in Washington state: fire, wildfire, and earthquakes.
Self-serve articles on how to use our products. Available 24/7.
Information on loss costs, policy rating, and assessment tools.
Links to help you work smarter and serve your customers.
The evaluation process explained from start to finish.
News on emerging risks as well as our latest products.
In-depth content on essential insurance topics.
Weekly newsletter covering the P/C industry, curated by our experts.
Who we are and how we serve insurers, agents, and Washington state residents.
Engaging thought leadership on key insurance industry issues from our CEO.
Get to know the team behind WSRB’s trusted data and excellent customer service.
Learn about the benefits of working at WSRB and apply for open positions.
A guide to key risks in Washington state: fire, wildfire, and earthquakes.
Self-serve articles on how to use our products. Available 24/7.
Information on loss costs, policy rating, and assessment tools.
Links to help you work smarter and serve your customers.
The evaluation process explained from start to finish.
News on emerging risks as well as our latest products.
In-depth content on essential insurance topics.
Weekly newsletter covering the P/C industry, curated by our experts.
Click the PDF icon to the right to complete the Report of Premiums form.
When your Report of Premiums form is filled out, submit it to WSRB by simply emailing it.
Remember to attach a copy of your Statutory Page 14 with the email.
For additional assistance, contact Subscriber Services at 206-273-7145 or by clicking here.
Companies under common management may submit a combined premium report. However, if any company within the group differs from the others as to WSRB services received, separate reports must be submitted for the each company.
Report Annual Statement Premiums from column 1 of your Statutory Page 14 in the space provided. The total direct premiums written at the bottom of this form must equal the total annual statement premiums at the top.
Direct Premiums Written
Line 1 - Fire includes premiums for Commercial Property, Dwelling Property and Farm Property. Please designate individually in the spaces provided:
Line 2.1 - Allied Lines includes premiums for Commercial Property, Dwelling Property and Farm Property. Please designate individually in the spaces provided:
Line 3 - Farmowners includes premiums written under the Farmowners program only. Please designate individually in the spaces provided:
Line 4 - Homeowners includes premiums written under the Homeowners program only. Please designate individually in the spaces provided:
Line 5.1 - Commercial Multi-Peril - Non Liability includes the property portion only of Commercial Multi-Peril policies. Please include premiums written under Commercial Package policies (including Market Segments Programs) and premiums written under Businessowners policies. Enter property premiums only. Please designate individually in the spaces provided:
Note: Enter Premiums for Capital Assets & Agricultural Assets programs in the space provided.
Line 12 - Earthquake includes Earthquake premiums written under commercial lines and Earthquake premiums written under personal lines. Please designate individually:
Main Line: 206-217-9772
Customer Service: 206-217-0101
Hours: 7:30 AM - 4:00 PM