Forms and Information

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Claims reporting requirements and loss forms can be found on this page. Please review all information and follow the procedures as described. Information contained on this page is in addition to following your district's procedures for reporting and responding to an incident. You should alert local emergency authorities as appropriate.

WC Forms & Sample Programs

 WC Manual

 WC Forms and Postings

 MSIA: WC Claims 101 Video

Report a Claim

Members can report a new claim using 24/7 call in service.

 Report a WC Claim – Call Encompass at 1-877-247-7710

 WC Claims Reporting Training slide deck

 General WC Forms and Postings