To report a claim in Michigan, call our 24-hour express claims service at 1-800-888-0616.
Take these steps first:
Take care of the employee. If the injury is an emergency, dial 911.
Contact our Claims Service within 24 hours:
New claim? Click here to report.
In Michigan: 1-800-888-0616
In All other states: 1-866-206-5851
Gather the information below before reporting the claim. We'll help you select the best medical care provider. We'll work with you, the medical provider and your employee to help ensure a safe return to work whenever possible. The claim will be filed with the appropriate regulatory authority for you, if necessary.
State of injury
Employer name
Accident Fund policy or account number
Employees supervisor name and phone number
Claim reported by who; job title; phone number
Location of injury (if employer has multiple locations)
Date accident was reported to employer
Date of injury; time of injury
Last day worked
Employee name
Employee full name; address; phone number (home and work)
Employee gender
Employee social security number
Employee date of birth
Employee occupation
Employee date of hire
How did accident occur? Description
Type of injury (i.e., broken? Sprain?)
Body part injured
Will employee be off work? Expected return to work date
Was injury fatal?
Employee ability to return to work? Actual return to work date
Was employee referred for care? Where? (phone number)
Communicate with the employee. Show you care by sending cards and calling to see how he or she is recovering. Let the employee know you value their work and want to see them back as soon as possible.
