Workers' Compensation Injury Reporting

For a state-specific "First Report of Injury" form, Click here

Injury reporting procedures, Click here.

Claims Frequently Asked Questions, Click here.

Prompt Reporting Facts

Some of the many ways in which prompt injury reporting will benefit you:

In today's economy, workers' compensation premiums are rising for nearly everyone regardless of claims volume, however your actions can impact that increase, as well as protect you from other financial and legal hassles.

• Rapid filing reduces claims costs.
• Lower claims costs can help keep your premium rates lower.
• Workers' Compensation claims that are reported promptly are less likely to become litigated.
• Prompt reporting can help get your workers taken care of and back on the job faster.
• Since self-payment of Workers' Compensation Claims is illegal in most States, quick reporting may provide you with protection from state fines or penalties.

For more details, please call one of our Customer Service Representatives at: 1-800-825-9489.

Please fax your completed form to 1.800.832.8793 within 72 hours.