Workers Compensation Loss Report
Farmers Claim Services provides five easy ways to report your Workers’ Compensation claims:
By entering the claim here using the link below.
Fax the state Workers' Compensation (First Report of Injury) claim form to our centralized toll free fax number at (866) 846-3114
Phone the claim into our award winning Farmers Contact Center call center using the toll free number: (866) 967-5256
E-MAIL and attach the state Workers' Compensation (First Report of Injury) claim form to: firstname.lastname@example.org
Mail the state Workers' Compensation (First Report of Injury) claim form to:
National Document Center
P. O. Box 108843
Oklahoma City, OK 73101-8843
In order to complete the “First Report of Injury�? claim form, or report the claim by phone, you will need to provide us with certain details related to the incident that you are reporting, including information about:
- The insured employer and their Workers’ Compensation insurance policy;
- The injured employee;
- The details of the injury being reported;and
- The medical provider(s) for the injured worker.
After you make a report of injury, one of our Workers’ Compensation claims professional will call you by the end of the next business day to discuss the claim and provide any further assistance you might need. In addition to reporting the Workers’ Compensation claim to the insurance carrier, the employer is still responsible for any other mandated state or federal reporting regarding the work related injury.
If you would like to report a claim online please have the information requested above and click on the link above when you are ready.
Workers’ Compensation Claims office:
The following chart provides contact information for the Workers’ Compensation Claims office serving your area.
|Area||Toll Free Phone|
|California and Hawaii||(888) 754-3260|
|Alabama, Arkansas, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Oklahoma, Tennessee, Texas, Wisconsin and all other Eastern States||(800) 357-3204|
|Alaska, Arizona, Colorado, Idaho, Montana, Nebraska, Nevada, New Mexico, Oregon, South Dakota and Utah||(800) 369-0544|