Claims Forms for Employers
Claims Forms for Employers
Read each form carefully to ensure you accurately complete it.
Contact us at 1-800-661-0792 if you need assistance, or for more information.
NEW: EMPLOYER’S REPORT OF INCIDENT FORM
Employers must submit the fully-completed incident report within three business days, or will incur penalties as listed in the Workers’ Compensation Acts. Please note that to report an accident causing serious bodily injury or a dangerous occurrence, you must call the 24-hour Incident Reporting line at 1-800-661-0792 as soon as is reasonably possible and complete and submit this form within three business days.
