Report an Injury

Does the injury involve any of the following?

  • Hospitalized
  • Paralysis
  • Heart attack or stroke
  • Rape or assault
  • Head injury
  • Amputation
  • Spinal cord injury
  • Two or more fractures

If YES, please call 1.800.442.0593 immediately.

If NO, choose from one of these reporting options.

  • File an eClaim: Get Started
  • Submit a claim over the phone:

    Call 1.800.442.0593

  • Submit Claim Through iNet Log in now

    Don't have an account? Enroll Now.

  • Fax Your Claim Form: 1.800.442.0597

    Select a State to download an Injury Report form.

For simple filing, use eClaim or fax to report a claim or injury. For recurrent claims, an iNet account may be beneficial.

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Questions? Call toll free: 1.800.442.0593