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Premium Surcharge Procedures

At the end of each fiscal quarter, insurers must submit an amount equal to the premium surcharge collected from policyholders during that quarter. The payment shall be submitted no later than 30 days after the end of each quarter.

Due dates for the periods covered in each quarter:

First Quarter: October 1-December 31

Due by: January 31


Second Quarter: January 1-March 31

Due by: April 30


Third Quarter: April 1-June 30

Due by: July 31


Fourth Quarter: July 1-September 30

Due by: October 31


Checks shall be made payable to the "DC Treasurer," and transmitted with the Quarterly Premium Surcharge Payment Form.

Checks and forms are to be submitted to the following office:

DC Department of Employment Services
Office of the Chief Financial Officer
4058 Minnesota Avenue, NE, Fifth Floor, Suite 5700
Washington, DC 20019
Phone: (202) 671-1400

A copy of the form must also be submitted to the following:

DC Department of Employment Services
Office of Workers' Compensation
4058 Minnesota Avenue, N.E. , Insurance Unit
Washington, DC 20019

Phone: (202) 671-1000