WEBQUOTE! For Occupational Accident (Non-Subscriber) Programs         (713)690-3500 (800)256-8035 (713)690-8484 Fax

THIS IS A SAMPLE FORM... Please Read Below: Attention WEBQUOTE users, you must have a username and password prior to using our online form. This is only a SAMPLE and will not allow you to complete online. If you do not have a username/password, go to this link to complete the form needed to apply for your username and password. Once you have completed the online form for your username and password we will notify your within 24 hours to let you know it has been activated. In the interim, you may also fax (713-690-8484) or email any submissions that you now have to jessiesanchez@compsolutionsnetwork.com Please note, your password is yours exclusively, any assignment to other parties outside your agency is strictly prohibited. If you do have a username and password please go to the WEBQUOTE page now.

 

Need Help? Please contact Jessie Sanchez: (713)690-3500 x42   "Your Success is Our Success"   Note: Incomplete WEBQUOTE! forms that are submitted to The Comp Solutions Network, Inc. cannot be processed. © Copyright The Comp Solutions Network, Inc.                                             Rev. 081605.