Welcome to the Maryland Workers' Compensation Commission
Insurance Report of Payroll (WCC Form A-02)

Online report for the fiscal year 2016

Please enter your assigned User Code and Pin Number. Then click the Submit Button to continue.

Enter Insurer Code:

 Enter Pin Number:

The preparer of this form will hereby certify under penalties of perjury that the payroll information that will be entered is true and correct and completely supported by all currently available payroll data, and that payment of tax assessed is subject to enforcement under Maryland Code Annotated, Labor and Employment, Title 9, Section 9-316 (e).



If you have any questions, or need help, Please e-mail the Fiscal Services Division