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Submission requirements

There are two ways agents can submit worker's compensation applications to UPA:

  1. Email complete ACORD 130 Workers' Compensation application and four years of currently valued loss runs including expiring to Applications@UnisourcePA.com.

     or

  2. Login to e-Access, UPA's agency portal, to submit your application through an online submission platform. Agent's who are not registered with UPA can complete the agent registration to receive a user identification and password.
 
UPA e-Access
3665 Bee Ridge Road, Suite 214. Sarasota, Florida 34233. Direct 941.378.7002. Fax 941.309.7600
Unique Program Insurance Agency, CA, is a dba of Unisource Program Administrators.
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