Report an Injury
Does the injury involve any of the following?
- Hospitalized
- Paralysis
- Heart attack or stroke
- Rape or assault
- Head injury
- Amputation
- Spinal cord injury
- Two or more fractures
If YES, please call 1.800.442.0593 immediately.
If NO, choose from one of these reporting options.
- File an eClaim: Get Started
- Submit a claim over the phone:
Call 1.800.442.0593
- Submit Claim Through iNet Log in now
Don't have an account? Enroll Now.
- Fax Your Claim Form: 1.800.442.0597
click here to download the injury report form.
For simple filing, use eClaim or fax to report a claim or injury. For recurrent claims, an iNet account may be beneficial.