File A Claim
Report a new workers’ compensation claim immediately. Early, appropriate delivery of healthcare is critical in effectively managing lost workdays and medical costs.
Claims can be reported 24/7 using any of the following methods:
- Call our Clinical Consultation service at 866.764.7705 to receive immediate care recommendations from an occupational nurse, directions to your local preferred medical provider and complete your first notice of injury (FNOI).
- Complete the online form below and submit through the website.
- Complete the Standard Intake Form and fax or email to the contact info at the top of the form.
Serious injuries or death claims in Michigan
Report serious injuries and death claims immediately, by phone, to Sedgwick. In the event of a death, employers must also notify the state within 8 hours by calling 800.858.0397. If a work-related inpatient hospitalization, amputation or eye loss occurs, employers must notify the state within 24 hours by calling 844.464.6742.
Serious injuries or death claims in Indiana
Report serious injuries and death claims immediately, by phone, to Sedgwick. In the event of a death, employers must also notify the state within 8 hours by calling IOSHA at 317.232.2693 during normal business hours Monday-Friday. For after hours of holidays, call the federal OSHA Hotline at 800.321.6742. If a work-related inpatient hospitalization, amputation or eye loss occurs, employers must notify the state within 24 hours by calling IOSHA at 317.232.2693 during normal business hours Monday-Friday. For after hours of holidays, call the federal OSHA Hotline at 800.321.6742.
Claims Fraud
Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.