What information do I need to report when logging a workplace injury?

Quickly identify and submit the data points needed by our Human Resources team and your insurance agent so they can log and report potential claims.

Use this Workers Comp First Report of Injury or Illness form. Once you fill it out, the form will automatically be sent to your HR manager for review, so there's no need to print or email it. HR will contact you to discuss whether the report needs to be relayed to your insurance agent.