--- title: Report of Premiums |.WSRB description: Submit your report of premiums to WSRB using our convenient digital form. --- [![Go to WSRB](https://www1.wsrb.com/hs-fs/hubfs/images/logos/wsrb-logo-white.png?width=120&height=20&name=wsrb-logo-white.png "Go to WSRB")](https://www1.wsrb.com/) [![Go to BuildingMetrix](https://www1.wsrb.com/hs-fs/hubfs/buildingmetrix/logo/inactive-BMI-1.png?width=140&height=23&name=inactive-BMI-1.png "Go to BuildingMetrix")](https://www.buildingmetrix.com/) [![Washington Surveying & Rating Bureau logo](https://www1.wsrb.com/hs-fs/hubfs/images/logos/wsrb-horiz-logo-rgb.png?width=150&height=51&name=wsrb-horiz-logo-rgb.png "Washington Surveying & Rating Bureau logo")](https://www1.wsrb.com/) [![CREATE AN ACCOUNT](https://no-cache.hubspot.com/cta/default/2459360/aa915923-2069-489f-ac4c-7946d6a68368.png)](https://cta-redirect.hubspot.com/cta/redirect/2459360/aa915923-2069-489f-ac4c-7946d6a68368) [![LOG IN](https://no-cache.hubspot.com/cta/default/2459360/04bb3ea0-778f-4261-b716-8cb51be8b93c.png)](https://cta-redirect.hubspot.com/cta/redirect/2459360/04bb3ea0-778f-4261-b716-8cb51be8b93c) ** ** ** #### [About the Company](https://www1.wsrb.com/about) Who we are and how we serve insurers, agents, and Washington state residents.   #### [CEO Perspective](https://www1.wsrb.com/ceo-perspective-wsrb) Engaging thought leadership on key insurance industry issues from our CEO.  #### [Meet the Team](https://www1.wsrb.com/meet-the-team) Get to know the team behind WSRB’s trusted data and excellent customer service.  #### [Careers](https://www1.wsrb.com/careers) Learn about the benefits of working at WSRB and apply for open positions.   #### [Underwriting Property](https://www1.wsrb.com/resources/underwriting-property-risks) A guide to key risks in Washington state: fire and earthquakes. --- #### [Video Hub](https://www1.wsrb.com/video) Expert webinars, timely discussions, and in-depth conversations with industry leaders..  #### [Commercial Property](https://www1.wsrb.com/risk-assessment-guide) Information on loss costs, policy rating, and assessment tools.   --- #### [Industry Toolkit](https://www1.wsrb.com/resources/industry-toolkit) Links to help you work smarter and serve your customers.   #### [Protection Classes](https://www1.wsrb.com/resources/public-protection) The evaluation process explained from start to finish. --- #### [WSRB Blog](https://www1.wsrb.com/blog) News on emerging risks as well as our latest products.  #### [Library](https://www1.wsrb.com/library) In-depth content on essential insurance topics. --- #### [InsuranceEDGE](https://www1.wsrb.com/insuranceedge) Weekly newsletter covering the P/C industry, curated by our experts.    [![WSRB-Horiz_Logo_RGB](https://www1.wsrb.com/hs-fs/hubfs/images/logos/WSRB-Horiz_Logo_RGB.png?width=150&height=51&name=WSRB-Horiz_Logo_RGB.png "WSRB-Horiz_Logo_RGB")](https://www1.wsrb.com/) [![CREATE AN 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Property](https://www1.wsrb.com/resources/underwriting-property-risks) A guide to key risks in Washington state: fire, wildfire, and earthquakes. --- #### [Video Hub](https://www1.wsrb.com/video) Expert webinars, timely discussions, and in-depth conversations with industry leaders..  #### [Commercial Property](https://www1.wsrb.com/risk-assessment-guide) Information on loss costs, policy rating, and assessment tools.   --- #### [Industry Toolkit](https://www1.wsrb.com/resources/industry-toolkit) Links to help you work smarter and serve your customers.   #### [Protection Classes](https://www1.wsrb.com/resources/public-protection) The evaluation process explained from start to finish. --- #### [WSRB Blog](https://www1.wsrb.com/blog) News on emerging risks as well as our latest products.  #### [Library](https://www1.wsrb.com/library) In-depth content on essential insurance topics. --- #### [InsuranceEDGE](https://www1.wsrb.com/insuranceedge) Weekly newsletter covering the P/C industry, curated by our experts.  Search **Search filters** Website pages Blog posts Help Center articles Include results from BuildingMetrix.com [![wsrb_white-logo](https://www1.wsrb.com/hs-fs/hubfs/wsrb_white-logo.png?width=100&height=17&name=wsrb_white-logo.png "wsrb_white-logo")](https://www1.wsrb.com/) ** ** # Report of Premiums Digital 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](mailto:premreport@wsrb.com) it. ##### Important: 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](mailto:karee.chung@wsrb.com). ##### Instructions for Report of Premium Completion 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. ##### Annual Statement Premium 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** - Enter full premiums - to the nearest dollar ##### Lines of Business **Line 1 - Fire** includes premiums for Commercial Property, Dwelling Property and Farm Property. Please designate individually in the spaces provided: - Premiums written under the Dwelling program using WSRB materials - Premiums written under the Farm program using WSRB materials - Premiums written under Division 5, Commercial Property, using WSRB materials - Fire premiums using other than WSRB materials **Line 2.1 - Allied Lines** includes premiums for Commercial Property, Dwelling Property and Farm Property. Please designate individually in the spaces provided: - Premiums written under the Dwelling program using WSRB materials - Premiums written under the Farm program using WSRB materials - Premiums written under Division 5, Commercial Property, using WSRB materials - Allied Lines premiums using other than WSRB materials **Line 3 - Farmowners** includes premiums written under the Farmowners program only. Please designate individually in the spaces provided: - Premiums using WSRB materials - Premiums using other than WSRB materials **Line 4 - Homeowners** includes premiums written under the Homeowners program only. Please designate individually in the spaces provided: - Premiums using WSRB materials - Premiums using other than WSRB materials 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: - Premiums using WSRB materials - Premiums using other than WSRB materials 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: - Premiums written under Personal Lines Property using WSRB materials - Premiums written under Commercial Lines Property, using WSRB materials - Earthquake premiums using other than WSRB materials [![](https://no-cache.hubspot.com/cta/default/2459360/interactive-167528940418.png) ](https://www1.wsrb.com/hs/cta/wi/redirect?encryptedPayload=AVxigLIqKQekim%2B8Ufnr6Z3udSLFePx4FOxmQzdNdWQcJaKXMo6ecCpQ11ZOxNpAWJ9EOvqfzSZiSq7KmB12KcDBqux%2FI98n9bk5uB1TMCloLvL1Kd3tTyoo0YYFSrNRzSLMt5MIxkplSP8kMnkHC%2Fd067AZZ06TeH4971t%2B58W%2FjsuvhaQYN8g9oZeM1A2zuaoW1fB4kqXA2NZnb6Ay&webInteractiveContentId=167528940418&portalId=2459360) ##### Report of Premiums form ![Washington Surveying & Rating Bureau logo](https://www1.wsrb.com/hs-fs/hubfs/wsrb_white-logo.png?width=200&height=34&name=wsrb_white-logo.png "Washington Surveying & Rating Bureau logo") Phone: 206-217-0101 Hours: 7:30 AM - 4:00 PM   [Site Map](https://www1.wsrb.com/vis-sitemap) COMPANY RESOURCES FROM OUR BLOG Copyright © 1911 – 2026 WSRB. 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