First Report of Injury

If your employee has been injured on the worksite, your first responsibility during the claims process is to file a Workers’ Compensation claim alongside a First Report of Injury report. Locate your state below to find the appropriate paperwork you’ll need to get the ball rolling on your Workers' Compensation claim.

Illinois

Indiana

Got questions? Contact us.

Email 800-362-2041

Products underwritten by Grinnell Mutual Reinsurance Company. The summarized coverage descriptions are used for reference only and do not contain relevant policy conditions, exclusions, or limitations. Products and discounts not available to all persons in all states and are subject to underwriting guidelines, review, and approval. Home Office: 4215 Highway 146, PO Box 790, Grinnell, IA 50112-0790. Grinnell Mutual Reinsurance Company, Grinnell Mutual, and coordinating logos or marks are registered trademarks of Grinnell Mutual Reinsurance Company. © Grinnell Mutual Reinsurance Company, 2018.