Workers’ Compensation Claim Report

Workers’ Compensation insurance companies prefer to have claims reported directly to them because they want to become involved in the claim management process at the earliest possible time in order to keep costs as low as possible.

If you need to report a Workers’ Compensation Claim, please print and complete the First Notice of Injury form provided below.  This form will provide written documentation for your records and ensure you have everything you need when you call the company.

Company Reporting: To report your claim directly to your Insurance Company, use the information provided here:

If you need assistance, please contact your Client Service Manager.