DEPARTMENT OF WORKFORCE DEVELOPMENT EMPLOYMENT AND TRAINING DIVISION BUREAU

 EMPLOYEES’ COMPENSATION DIVISION LABOUR DEPARTMENT STATEMENT OF
BILL LOCKYER STATE OF CALIFORNIA ATTORNEY GENERAL DEPARTMENT OF
  COMMITTEE ASSISTANCE DEPARTMENT INTERNATIONAL & ENVIRONMENTAL PLANNING

  US DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
DATE INDIANA DEPARTMENT OF TRANSPORTATION ATTN INDOT PROJECT MANAGER
STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF ENTERPRISE

DETB-15466-E, Fidelity Bonding Employer Letter

Department of Workforce Development

Employment and Training Division

Bureau of Job Service

P.O. Box 7972

Madison, WI 53707

Telephone: (608) 266-0327

Fax: (608) 327-6257

Email: [email protected]

DEPARTMENT OF WORKFORCE DEVELOPMENT EMPLOYMENT AND TRAINING DIVISION BUREAU


Tony Evers, Governor

Caleb Frostman, Secretary


Enter Date







Enter Employer Name

Attn: Enter Contact Name

Enter City, Enter State, Enter Zip Code


Dear Enter Employer Name


This is to confirm that a Fidelity Bond is being issued to your company to provide $      in employee dishonesty insurance coverage for ‘Enter Employee Name’.


The Effective Date of the insurance is ‘     ’. The bond Expiration Date is ‘     ’.


The bond insurance is a policy of Travelers Property Causality Co. Within the next 15 days you will receive a copy of the policy from the agent for the fidelity bond being issued – The Federal Bonding Program, Union Insurance Group, 303 West Erie Street., SUITE 310, Chicago, IL. 60654. In the event of a loss covered by the policy, you are to file a claim in writing directly with Union Insurance Group, Inc., Attention: Ms. Kathy Pawlina.


Within 30 days prior to the bond expiration date, if there was no claim made for employee dishonesty under this bond, issued free-of-charge, your company may request to purchase a renewal bond at a standard commercial rate from Travelers Property Causality Co. Your company is not obligated to make such a purchase. To arrange a purchase, you must contact Ms. Kathy Pawlina of Union Insurance Group at 1-312-799-8400 ext. 34.


We appreciate your interest in working with our organization and providing employment opportunities in the community. Please call if you have any questions or I can be of further assistance.


Sincerely,






Enter Your Name Here

Enter The Agency You Work For

Enter Street Address or PO Box

Enter City, Enter State, Enter Zip Code

(   )    -     

DETB-15466-E (R. 02/2019) http://dwd.wisconsin.gov/


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