CLAIMS REPORTING FORMS

Please click on the link below to access the on-line Workers' Compensation Claims forms.

Workers' Compensation Claim Reporting

Any questions, please call 866-650-4016
 
Lynda DeMarino
WC Claim Supervisor
Extension 275

 

Martha Capalbo
Senior WC Claims Examiner
Extension 226

 

Lorena Miranda
WC Claims Examiner
Extension 272

 

Mary Martin
Senior WC Claims Examiner
Extension 260