Release Form
See if You Qualify for One of Our Workers’ Comp Programs
Are you a Washington-based manufacturing or agribusiness employer committed to keeping your employees safe and on the job? You may be eligible for one of Vigilant’s four workers’ compensation programs, serviced by Vigilant’s wholly owned subsidiary, VSI—together designed to reduce costs and improve outcomes.
This form gives us permission to securely access your claims history with Washington’s Department of Labor & Industries (L&I), so we can evaluate whether our programs are a good fit for your business. If you have any questions, please contact our team here.
Start Here
Complete this secure, quick authorization form so we can review your workers' compensation history and determine whether your business may qualify for cost-saving programs.
- No cost
- No obligation
- Secure and confidential
Begin by clicking Continue below.
What You Get with Vigilant
Our team brings decades of experience helping Washington employers navigate workers’ comp challenges. We provide proactive support with:
- Dedicated safety professionals
- Personalized, intelligent claims management
- Return-to-work strategies
- Advocacy with L&I
- Proprietary analytics for claims trend analysis and cost control
Whether you’re managing claims in-house or looking for expert help, Vigilant is a trusted partner that works as an extension of your team.
Real Value for Your Business
With Vigilant, you can:
- Lower your workers’ comp premiums
- Resolve claims more efficiently
- Identify trends and reduce risk
- Support injured employees more effectively
Need Help or Have Questions?
We’re happy to walk you through the process and answer any questions about how the form works or what you can expect. Contact us anytime! We’re here to help.