Here to Help!
TO REPORT BY PHONE CALL (800) 726-9006
Please have your policy number and name of insured/policyholder as named on the policy.
- Full name, age, date of birth, social security number of injured employee
- Date/hours of employment and wages
- Date, time and location of injury
- Home address and phone number
REPORT BY E-MAIL: [email protected]
or BY FAX: (855) 603-8409
Email or fax your completed State Workers’ Compensation First Report of Injury form.
Once a claim is reported, we will contact the insured employer within the next two business days to begin evaluating the injured employee’s needs.
If you need assistance with a claim sooner, you may contact the AmeriTrust Service Center at (800) 825-9489, which will directly connect you with the adjuster assigned to handle your claim.