New Claim

If you have been injured due to a workplace incident, you may be entitled to benefits. To submit a claim:

Once submitted, we will review your Worker’s Report of Injury (Form 6), Employer’s Report of Injury (Form 7) and Health Care Provider Form (MD, PR or 8/10c) and make a decision on your claim.

If you would like for us to discuss your claim with your spouse, family member or other representative (such as a friend or union representative), please complete section G of the Form 6 or the Authorized Representative Consent (Form 13).

Frequently Asked Questions

How do I open a claim for presumptive PTSD coverage?