Re:      Workers’ Compensation - Final Audit

<<Pol_EffectDate>>, <<Pol_ApplicationType>>



Audit Period:  <<Pol_EffectDate>> - <<Pol_ExpireDate>>


Dear <<Cli_Preferred1>>:


Enclosed is the Workers’ Compensation Audit for the period shown above.


Due to payroll being higher than originally estimated, this audit has developed an additional premium.  An invoice for the additional premium of $ <<Input:Additional premium amount>> will be sent directly from the carrier.


Please review the enclosed audit and let us know if you have any questions.


Your existing policy should be adjusted, if necessary, to reflect the increased payroll shown on this audit.


<<User Name>>
<<User_Notes>>, <<Agncy_Name>>
<<Agncy_Address>>, <<Agncy_City>>, <<Agncy_State>>  <<Agncy_Zip>>
Phone:<<Agncy_Phone>>  |  Fax: <<Agncy_Fax>>