Worker's Compensation Claim Procedure

The State of Wisconsin requires all non-fatal injuries to be reported to your insurance carrier within 7 days of the injury. Please report any claims by telephone, fax or email as soon as possible. In the event you have questions, please contact your customer service representative at Schwarz Insurance.

First Report of Injury Form

To view documents, you may need to download Adobe Acrobat Reader . It is a free download.

For more information on worker's compensation claims, visit the Wisconsin Department of Workforce Development, Worker's Compensation Division.

To report a Worker's Comp claim directly to your company, contact:

COMPANY
PHONE
FAX
 Accident Fund
 866-206-5851
 517-367-7615
 Acuity 800-242-7666 888-880-9588
 Badger Mutual
 800-837-7833  414-383-1535
 Capitol Indemnity
 800-475-4450 608-829-7411
 CNA 800-262-1612 877-309-5383
 Continental Western
  515-473-3006
 EMC  800-236-1810 262-786-3812
 Frankenmuth 800-234-4433 989-652-6231
 General Casualty
 888-737-8256 800-461-1645
 Germantown  262-623-3040
 Grinnell 877-467-2252 
 Hartford 800-327-3636 859-258-2235
 Hastings  877-520-0562
 Integrity

 800-348-1741

 800-837-5570
 (After Hours)
 800-333-3878 
 Midwest Family
 800-225-5636 763-951-7092
 National Specialty (NSI)
 877-922-5246 877-434-9585
 Ohio Casualty
 800-366-6446 866-282-5399
 Philadelphia 800-765-9749 800-685-9238
 Secura 800-318-2136 800-318-2209
 Society

 888-576-2438

 920-922-1071
 (After Hours)
 800-945-7120
 
 State Auto
  888-999-8095
 West Bend
 800-236-5003 800-459-4520
 Wisconsin Mutual
  608-836-1645
 Wilson Mutual
  866-633-9220
 Zurich 800-987-3373 877-962-2567