- WORKERS COMPENSATION QUOTE - WORKERS COMPENSATION QUOTE Fill out the following form as completely as possible. Once you have completed the form, click Submit to send your information to Insurance Discounters of Ohio. We will handle your request shortly. Please enable JavaScript in your browser to complete this form.Personal Information *FirstLastEmail *Primary Phone Number *Single Line TextCityStateOhioIndianaKentuckyTexasZIP / Postal CodeCompany InformationCompany Owner Additional InformationBusiness TypePartnershipLLCCorporationAssociationSole ProprietorDo you currently have insuranceDo you currently have insurance?YesNoCurrent Insurance ProviderExpiration DateNature of BusinessYear Business EstablishedAnnual Employee PayrollAmount of Desired InsuranceHow did you hear about us?Submit