Work Comp Resources for PEO and Professional Employer Organizations

PEOs can provide Work Comp Coverage for your business.

To get more information about Workers' Compensation Coverage insurance laws see the following resources.
 

All 50 States’ and D.C.’s Home Pages
and Workers’ Compensation Agencies
Last updated 3/2010

The International Association of Industrial Accident Boards and Commissions and the U.S. Department of Labor also maintain excellent detailed lists of workers’ compensation agencies. Click here to view the directory of State Workers’ Compensation Officials, compiled by the Division of Federal Employees’ Compensation of the U.S. Department of Labor’s Office of Workers’ Compensation Programs (OWCP). Click here to view a list of State Workers’ Compensation Laws, compiled by the OWCP.

The N.C. Industrial Commission’s list of U.S. workers’ compensation agencies is a separate document. It is updated daily, as we receive new information; and is probably the most complete and up-to-date listing of its type available anywhere. Click here for a comprehensive Workers’ Compensation Administrators Directory for the United States and Canada (http://www.ic.nc.gov/ncic/pages/wcadmdir.htm).

United States and D.C.:   U.S. Department of Labor    Alabama    Alaska    Arizona    Arkansas    California    Colorado    Connecticut    Delaware    District of Columbia    Florida    Georgia    Hawaii    Idaho    Illinois    Indiana    Iowa    Kansas    Kentucky    Louisiana    Maine    Maryland    Massachusetts    Michigan    Minnesota    Mississippi    Missouri    Montana    Nebraska    Nevada    New Hampshire    New Jersey    New Mexico    New York    North Carolina    North Dakota    Ohio    Oklahoma    Oregon    Pennsylvania    Rhode Island    South Carolina    South Dakota    Tennessee    Texas    Utah    Vermont    Virginia    Washington    West Virginia    Wisconsin    Wyoming   

Other U.S. Areas:   American Samoa    Guam    Navajo Nation    Northern Mariana Islands    Puerto Rico    Virgin Islands   

United States and D.C.

U.S. Department of Labor

U.S. Department of Labor (DOL)—http://www.dol.gov/
200 Constitution Avenue NW
Washington, District of Columbia 20210
    (202) 693-6000

Alabama

State of Alabama—http://www.al.gov/
Department of Industrial Relations—http://dir.alabama.gov/
Workers’ Compensation Division—http://dir.alabama.gov/wc/
Industrial Relations Building
649 Monroe Street
Montgomery, Alabama 36131
(800) 528-5166, (334) 242-2868; Fax: (334) 353-8262 (Administrative/TPAs/Assessments/Self-Insurance), (334) 353-8228 (Examiners/Ombudsman), (334) 353-0840 (Claims), (334) 353-8490 (Compliance/Drug Free/Medical/Education); Fraud: (800) 923-2533; Ombudsman: (800) 528-5166, (334) 242-2868 (in Montgomery area)

Alaska

State of Alaska—http://www.state.ak.us/
Department of Labor and Workforce Development—http://www.labor.state.ak.us/home.htm
Workers’ Compensation Division—http://www.labor.state.ak.us/wc/wc.htm
Post Office Box 25512
Juneau, Alaska 99802-5512
(907) 465-2790; Fax: (907) 465-2797

Arizona

State of Arizona—http://www.state.az.us/
Industrial Commission of Arizona—http://www.ica.state.az.us/
800 West Washington
Phoenix, Arizona 85007
    or
Post Office Box 19070
Phoenix, Arizona 85005-9070
(602) 542-4411, Fax: (602) 542-7889; Ombudsman: (602) 542-4538, Fax: (602) 542-4350
Click here to download free fillable PDF (Portable Document Format) versions of Arizona workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Commission Review Board

State Compensation Fund (SCF Arizona)—http://www.ica.state.az.us/
3031 North Second Street
Phoenix, Arizona 85012
(602) 631-2000; Fax: (602) 631-2213

Arkansas

State of Arkansas - http://portal.arkansas.gov/Pages/default.aspx
Workers’ Compensation Commission—http://www.awcc.state.ar.us/
Street Address:
324 Spring Street
Little Rock, Arkansas 72203
Mailing Address:
Post Office Box 950
Little Rock, Arkansas 72203-0950
(800) 622-4472, (501) 682-3930; Fax: (501) 682-2777; Legal Advisor Direct: (800) 250-2511; TDD: (800) 285-1131
Arkansas Relay System TDD: (800) 285-1131

California

State of California—http://www.ca.gov/
Department of Industrial Relations—http://www.dir.ca.gov/
Commission on Health and Safety and Workers’ Compensation (CHSWC)—http://www.dir.ca.gov/chswc/chswc.html
1515 Clay Street, Room 901
Oakland, California 94612
(510) 622-3959, Fax: (510) 622-3265
E-mail: chswc@hq.dir.ca.gov

Division of Workers’ Compensation (DWC)—http://www.dir.ca.gov/dwc/dwc_home_page.htm
Street Address:
1515 Clay Street, 17th Floor
Oakland, California 94612
Mailing Address:
Post Office Box 420603
San Francisco, California 94142
(800) 736-7401, (510) 286-7100
E-mail: dwc@dir.ca.gov 
Click here to download free fillable PDF (Portable Document Format) versions of California workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Division of Workers’ Compensation Medical Unit—http://www.dir.ca.gov/dwc/MedicalUnit/imchp.html
Street Address:
1515 Clay Street, 18th Floor
Oakland, California 94612
Mailing Address:
Post Office Box 71010
San Francisco, California 94142
(800) 794-6900 (in California), (510) 286-3700, Complaint Line: (800) 999-1041

Workers’ Compensation Appeals Board (WCAB)—http://www.dir.ca.gov/WCAB/
Street Address:
455 Golden Gate Avenue, Suite 9328
San Francisco, California 94102-3660
Mailing Address:
Post Office Box 429459
San Francisco, California 94142-9459
Information and Assistance Division: (800) 736-7401, (415) 703-5020

Self-Insurance Plans (SIP)—http://www.dir.ca.gov/SIP/
2265 Watt Avenue, Suite 1
Sacramento, California 95825
(916) 483-3392, Fax: (916) 483-1535
E-mail: SIP@dir.ca.gov

State Compensation Insurance Fund (SCIF)—http://www.scif.com/
1275 Market Street
San Francisco, California 94103
(415) 565-1234, Claims Reporting Service (toll free): (888) 222-3211, Fraud Hotline: (888) 786-7372

Colorado

State of Colorado—http://www.colorado.gov/
Department of Labor & Employment—http://www.coworkforce.com/
633 17th Street, Suite 200
Denver, Colorado 80202-3660
Division of Workers’ Compensation—http://www.coworkforce.com/dwc/
633 17th Street, Suite 400
Denver, Colorado 80202-3660
(888) 390-7936 (English), (800) 685-0891 (Spanish), (303) 318-8700, Fax: (303) 318-8710, E-mail: workers.comp@state.co.us
Click here to download free fillable PDF (Portable Document Format) versions of Colorado workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Claims Appeals Office (ICAP)—http://www.coworkforce.com/icao/
633 17th Street, Suite 600
Denver, Colorado 80202-3660
(303) 318-8131, Fax: (303) 318-8139

Connecticut

State of Connecticut—http://www.ct.gov/
Workers’ Compensation Commission—http://wcc.state.ct.us/
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(800) 223-9675 (toll-free in Connecticut), (860) 493-1500, Fax: (860) 247-1361
wcc.chairmansoffice@po.state.ct.us
Click here to download free fillable PDF (Portable Document Format) versions of Connecticut workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Compensation Review Board (CRB)—http://wcc.state.ct.us/wcc/crb.htm
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(203) 493-1500, Fax: (203) 247-1361

Delaware

State of Delaware—http://delaware.gov/
Department of Labor—http://www.delawareworks.com/
4425 North Market Street
Wilmington, Delaware 19802
dlabor@state.de.us
Division of Industrial Affairs—http://www.delawareworks.com/industrialaffairs/
4425 North Market Street, Third Floor
Wilmington, Delaware 19802
(302) 761-8200 (New Castle), (302) 422-1134 (Kent and Sussex)
Office of Workers’ Compensation—http://www.delawareworks.com/industrialaffairs/services/WorkersComp.shtml
Street Address:
Fox Valley Office
4425 North Market Street
Wilmington, Delaware 19802
Mailing Address:
Post Office Box 9954
Wilmington, Delaware 19802-9954
(302) 761-8200 (New Castle), (302) 422-1134 (Kent and Sussex), Fax: (302) 761-6601

District of Columbia

District of Columbia—http://www.dc.gov/
Department of Employment Services—http://www.does.dc.gov/does/site/default.asp
Government of the District of Columbia
64 New York Avenue, N.E.
Washington, District of Columbia 20002
(202) 724-7000, Fax: (202) 724-5683, TDD/TYY: (202) 673-6994
E-mail: does@dc.gov

Labor Standards Bureau
64 New York Avenue, N.E., Room 3129
Washington, District of Columbia 20002
(202) 671-1555, Fax: (202) 673-6412

Office of Workers’ Compensation—http://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537428
Mailing Address:
Post Office Box 56098
Washington, District of Columbia 20002
Street Address:
64 New York Avenue, N.E., Room 2909
Washington, District of Columbia 20002
(202) 671-1000, Fax: (202) 671-1929

Office of Hearings and Adjudication—http://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537904
64 New York Avenue, N.E., Room 2011
Washington, District of Columbia 20002
(202) 671-2233, Fax: (202) 673-6938

Florida

State of Florida—http://www.myflorida.com/
Florida Department of Financial Services—http://www.myfloridacfo.com/
200 East Gaines Street
Tallahassee, FL 32399-0300
(850) 413-3100, Consumer Helpline: (800) 342-2762
Division of Workers’ Compensation—http://www.myfloridacfo.com/WC/
200 East Gaines Street
Tallahassee, Florida 32399-4220
(850) 413-1609; Fax: (850) 922-6779; Injured Worker Helpline: (800) 742-2214; Fraud: (800) 742-2214 (in Florida) (Department of Insurance, Bureau of Workers’ Compensation Fraud: (850) 413-3116); Safety: (800) 367-4378 (in Florida), (850) 488-3044
 E-mail: Workers.CompService@MyFloridaCFO.com
Click here to download free fillable PDF (Portable Document Format) versions of Florida workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Florida Division of Administrative Hearings—http://www.doah.state.fl.us/internet/
The Desoto Building
1230 Apalachee Parkway
Tallahassee, Florida 32301-3060
(850) 488-9675; Fax: (850) 921-6847
Office of Judges of Compensation Claims—http://www.jcc.state.fl.us/jcc/
Petition for Benefits:
Post Office Box 8000
Tallahassee, Florida 32314-8000
Filing:
Post Office Box 8000
Tallahassee, Florida 32314-8000
Request for Assignment of Case Number:
Post Office Box 8000
Tallahassee, Florida 32314-8000
(850) 487-1911, SUNCOM 277-1911

Florida Department of Education—http://www.fldoe.org/
Florida Division of Vocational Rehabilitation—http://www.rehabworks.org/
2002 Old Saint Augustine Road, Building A
Tallahassee, Florida 32301-4862
(800) 451-4327 (Voice/TDD), (850) 245-3399 (Voice/TDD)

Georgia

State of Georgia—http://www.georgia.gov/
Georgia State Board of Workers’ Compensation—http://sbwc.georgia.gov/
270 Peachtree Street, NW
Atlanta, Georgia 30303-1299
(800) 533-0682, (404) 656-3875, Fax: (404) 656-7768, Enforcement Division: (404) 657-1391, Safety Library: (404) 656-9057
Click here to download free fillable PDF (Portable Document Format) versions of Georgia workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Georgia Subsequent Injury Trust Fund—http://sitf.georgia.gov/
Suite 500, North Tower
1720 Peachtree Street, NW
Atlanta, Georgia 30309-2420
(404) 206-6360, Fax: (404) 206-6363, TDD: (404) 206-5053

 

Hawaii

State of Hawaii—http://www.hawaii.gov/portal/
Department of Labor & Industrial Relations (DLIR)—http://hawaii.gov/labor/
830 Punchbowl Street
Honolulu, Hawaii 96813
(808) 586-8842, Fax: (808) 586-9099, dlir.director@hawaii.gov

Disability Compensation Division—http://hawaii.gov/labor/dcd/index.shtml
830 Punchbowl Street, #211
Honolulu, Hawaii 96813
(808) 586-9151, Fax: (808) 586-9219, dlir.workcomp@hawaii.gov

Labor & Industrial Relations Appeals Board—http://hawaii.gov/labor/hlirab/index.shtml
830 Punchbowl Street #404
Honolulu, Hawaii 96813
(808) 586-8600, Fax: (808) 586-8599, dlir.laborboard@hawaii.gov

Idaho

State of Idaho—http://www.idaho.gov/
Idaho Industrial Commission—http://www.iic.idaho.gov/
317 Main Street
Post Office Box 83720
Boise, Idaho 83720-0041
(800) 950-2110, (208) 334-6000; Fax: (208) 334-2321; TDD: (800) 950-2110

State Insurance Fund—http://www.idahosif.org/
1215 West State Street
Post Office Box 83720
Boise, Idaho 83720-0044
(800) 334-2370, (208) 334-2370 (in the Boise area); Fax: (208) 334-2262 (Policyholder Services, Administration, Management Services, Legal), (208) 334-3253 (Claims), (208) 334-3254 (Underwriting); Fraud: (800) 448-ISIF (4743)

Illinois

State of Illinois—http://www.illinois.gov
Illinois Workers’ Compensation Commission—http://www.iwcc.il.gov/
100 West Randolph Street, Suite 8-200
Chicago, Illinois 60601
(866) 352-3033 (toll free within Illinois), (312) 814-6611, Fax: (312) 814-6523, TDD: (312) 814-2959
E-mail: infoquestions.wcc@illinois.gov
Click here to download free fillable PDF (Portable Document Format) versions of Illinois workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Illinois Workers’ Compensation Commission Office of Self-Insurance Administration—http://www.iwcc.il.gov/selfinsurance.htm
E-mail: jean.cannon@illinois.gov
Springfield Office
701 South Second Street
Springfield, Illinois 62704
(217) 785-7084, Fax: (217) 785-6557
Chicago Office
100 West Randolph Street, Eighth floor
Chicago, Illinois 60601
(312) 814-6065

Indiana

State of Indiana—http://www.in.gov/
Workers’ Compensation Board of Indiana—http://www.in.gov/workcomp/
Government Center South
402 West Washington Street, Room W-196
Indianapolis, Indiana 46204
(317) 232-3808; Claims/Statistics: (317) 233-4930; Fax: (317) 233-5493; Insurance: (317) 233-3910; Ombudsman: (800) 824-COMP (2667), (317) 232-5922

Indiana Compensation Rating Bureau (ICRB)—http://www.icrb.net/
Street Address:
5920 Castleway West Drive
Indianapolis, Indiana 46250
Mailing Address:
Post Office Box 50400
Indianapolis, Indiana 46250
(800) 622-4208, (317) 842-2800; Fax: (317) 842-3717
E-mail: icrb@icrb.net

Iowa

State of Iowa—http://www.iowa.gov/
Iowa Workforce Development—http://www.iowaworkforce.org/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA, (515) 281-5387
Iowa Division of Workers’ Compensation—http://www.iowaworkforce.org/wc/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA (562-4692), (515) 281-5387; Fax: (515) 281-6501, TTD: (515) 281-4748
E-mail: IWD.DWC@iwd.iowa.gov

Kansas

State of Kansas—http://www.kansas.gov/
Department of Labor—http://www.dol.ks.gov/
401 SW Topeka Boulevard
Topeka, Kansas 66603-3182
(785) 296-5000
Division of Workers’ Compensation—http://www.dol.ks.gov/WC/HTML/wc_ALL.html
800 SW Jackson, Suite 600
Topeka, Kansas 66612-1227
(800) 332-0353, (785) 296-2996; Fax: (785) 296-0839; Fraud: (800) 332-0353, (785) 296-6392; Industrial Safety & Health: (800) 332-0353, (785) 296-4386; Ombudsman: (800) 332-0353, (785) 296-2996

Kentucky

Commonwealth of Kentucky—http://kentucky.gov/
Kentucky Department of Labor—http://www.labor.ky.gov/
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070, Fax: (502) 564-5387
Department of Workers’ Claims—http://www.labor.ky.gov/workersclaims/
657 Chamberlin Avenue
Frankfort, Kentucky 40601
(502) 564-5550 (Administrative Services, Open Records); Fax: (502) 564-8250 (Administrative Services), (502) 564-9533 (Specialists), (502) 564-5732 (Open Records), (502) 564-0916 (Security and Compliance)
Specialists Toll Free Number: (800) 554-8601
E-mail: Department of Workers’ Claims
Click here to download free fillable PDF (Portable Document Format) versions of Kentucky workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Workers’ Compensation Board—http://www.labor.ky.gov/workersclaims/workerscompboard.htm
(859) 246-2773, Fax: (859) 246-2779

Division of Workers’ Compensation Funds—http://www.labor.ky.gov/ows/workerscompensationfunds/
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502) 564-5467; Fax: (502) 564-5112

Workers’ Compensation Funding Commission—http://www.kwcfc.ky.gov/
Street Address:
#42 Millcreek Park
Frankfort, Kentucky 40601
Mailing Address:
Post Office Box 1228
Frankfort, Kentucky 40602-1228
(502) 573-3505, Fax: (502) 573-4023

Kentucky Workers’ Compensation Law (via CompEd, Inc.)—http://www.comped.net/

Louisiana

State of Louisiana—http://www.louisiana.gov/wps/portal/
Department of Labor—http://www.laworks.net/
Mailing Address: 
Post Office Box 94094
Baton Rouge, Louisiana 70804-9094
Street Address: 
1001 North 23rd Street
Baton Rouge, Louisiana 70804-9094
(225) 342-3111, TDD: (800) 259-5154
Office of Workers’ Compensation Administration—http://www.laworks.net/wrk_owca.asp
Mailing Address: 
Post Office Box 94040
Baton Rouge, Louisiana 70804-9040
Street Address: 
1001 North 23rd Street
Baton Rouge, Louisiana 70802-9094
(225) 342-7555, Fax: (225) 342-5665, Fraud: (800) 201-3362 or WCFraud@ldol.state.la.us, Safety: (800) 201-2497
E-mail: OWCA@ldol.state.la.us

Maine

State of Maine—http://www.maine.gov/
Workers’ Compensation Board—http://www.maine.gov/wcb/
27 State House Station
Augusta, Maine 04333-0027
(207) 287-3751; Fax: (207) 287-7198
Click here to download free fillable PDF (Portable Document Format) versions of Maine workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Maryland

State of Maryland—http://www.maryland.gov/
Maryland Workers’ Compensation Commission—http://www.wcc.state.md.us/
10 East Baltimore Street
Baltimore, Maryland 21202-1641
(800) 492-0479, (410) 864-5100; Fax: (410) 333-8122; Fraud: (800) 846-4069; info@wcc.state.md.us
Click here to download free fillable PDF (Portable Document Format) versions of Maryland workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Insured Workers’ Insurance Fund—http://www.iwif.com/
8722 Loch Raven Boulevard
Towson, Maryland 21286-2235
(800) 264-IWIF (4943), (410) 494-2000; Fax: (410) 494-2001; Injury Reporting Hotline: (888) 410-1400; Fraud: (888) ANTI-FRAUD (268-4372), reportfraud@iwif.com

Massachusetts

Commonwealth of Massachusetts—http://www.mass.gov/?pageID=mg2homepage&L=1&L0=Home&sid=massgov2
Department of Industrial Accidents—http://www.mass.gov/dia/
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(800) 323-3249, (617) 727-4900; Fax: (617) 727-6477; TTY: (800) 224-6196
Click here to download free fillable PDF (Portable Document Format) versions of Massachusetts workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Massachusetts Workers’ Compensation Advisory Council—http://www.mass.gov/wcac/
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(617) 727-4900, ext. 378; Fax: (617) 727-7122

Workers’ Compensation Rating and Inspection Bureau of Massachusetts—https://www.wcribma.org/mass/
101 Arch Street
Boston, Massachusetts 02110
(617) 439-9030, Fax: (617) 439-6055

Michigan

State of Michigan—http://www.michigan.gov/
Street Address:
611 W. Ottawa
Lansing, Michigan 48909
Mailing Address:
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820, Fax: (517) 373-2129
Workers’ Compensation Agency—http://www.michigan.gov/wca
Street Address:
State Secondary Complex
General Office Building
7150 Harris Drive
1st Floor, B-Wing
Lansing, Michigan 48913
Mailing Address:
Post Office Box 30016
Lansing, Michigan 48909
(888) 396-5041, (313) 456-2400, Fax: (313) 456-2424
E-mail: wcinfo@michigan.gov
Click here to download free fillable PDF (Portable Document Format) versions of Michigan workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380, Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987

Workers’ Compensation Appellate Commission—http://www.michigan.gov/cis/0,1607,7-154-10576_17495---,00.html
Street Address:
Ottawa Building, 2nd Floor
611 West Ottawa Street
Lansing, Michigan 48909
Mailing Address:
Post Office Box 30468
Lansing, Michigan 48909-7968
(517) 373-8020, Fax: (517) 241-1396
E-mail: wcacinfo@michigan.gov

Michigan Economic Development Corporation—http://medc.michigan.org/
300 North Washington Square
Lansing, Michigan 48913
(888) 522-0103, (517) 373-9808
     Michigan Business Guide to Workers’ Compensation—http://medc.michigan.org/services/workerscomp/
Compensation Cost Control Service—http://www.michigan.gov/wca/0,1607,7-191-26925-41305--,00.html
Victor Office Center, Fourth Floor
201 North Washington Square
Lansing, Michigan 48909-7968
(517) 373-9809, Fax: (517) 241-3689

Compensation Advisory Organization of Michigan (CAOM)—http://www.caom.com/
Street Address:
17197 N. Laurel Park Drive, Suite 311
Livonia, Michigan 48152
Mailing Address:
Post Office Box 3337
Livonia, Michigan 48151-3337
(734) 462-9600, Fax: (734) 462-9721
    Jerry J. Stage, President and Chief Executive Officer
    Jon D. Heikkinen, Senior Vice President, CAOM Operations
    Gary L. Thompson, Vice President, Facility Operations

Minnesota

State of Minnesota—http://www.mn.gov/
Department of Labor and Industry—http://www.dli.mn.gov/
443 Lafayette Road North
St. Paul, Minnesota 55155-4307
(800) DIAL-DLI (342-5354), (651) 284-5005; TTY: (651) 297-4198

Workers’ Compensation Division—http://www.dli.mn.gov/WorkComp.asp
443 Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI (342-5354) in Greater Minnesota, (651) 284-5005 in the St. Paul area, (800) 365-4584 or (218) 733-7810 in the Duluth area; Fax: (651) 284-5727
E-mail: DLI.Workcomp@state.mn.us
Click here to download free fillable PDF (Portable Document Format) versions of Minnesota workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Workers’ Compensation Court of Appeals—http://www.workerscomp.state.mn.us/
405 Minnesota Judicial Center
25 Dr. Martin Luther King Jr. Boulevard
St. Paul, Minnesota 55155
(651) 296-6526, Fax: (651) 297-2520, TTY/TDD: (800) 627-3529

Mississippi

Mississippi Workers’ Compensation Commission—http://www.mwcc.state.ms.us/
Street Address:
1428 Lakeland Drive
Jackson, Mississippi 39216
Mailing Address:
Post Office Box 5300
Jackson, Mississippi 39296-5300
(601) 987-4200, Fraud: (601) 359-4250

Missouri

State of Missourihttp://www.mo.gov/
Department of Labor and Industrial Relationshttp://www.dolir.missouri.gov/index.asp
Street Address:
3315 West Truman Boulevard, Room 213
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 504
Jefferson City, Missouri 65102-0504
(573) 751-9691, Fax: (573) 751-4135

Montana

State of Montana—http://mt.gov/
Department of Labor and Industry—http://dli.mt.gov/
Post Office Box 1728
Helena, Montana 59624-1728
(406) 444-2840, Fax: (406) 444-1394
E-mail: dliquestions@mt.gov

Employment Relations Division—http://erd.dli.mt.gov/

Workers’ Compensation Claims Assistance Bureau—http://erd.dli.mt.gov/wcclaims/wcchome.asp
Street Address:
1805 Prospect Avenue
Helena, Montana 59624
Mailing Address:
Post Office Box 8011
Helena, Montana 59624-8011
(406) 444-6543, Fax: (406) 444-3465, TDD: (406) 444-9696
E-mail: jakoehl@mt.gov

Workers’ Compensation Regulation Bureau—http://erd.dli.mt.gov/wcregs/wcrhome.asp
Street Address:
1805 Prospect Avenue
Helena, Montana 59624
Mailing Address:
Post Office Box 8011
Helena, Montana 59624-8011
(406) 444-6541, Fax: (406) 444-3465

Workers’ Compensation Court—http://wcc.dli.mt.gov/
Street Address:
    1625 11th Avenue
    Helena, Montana
Mailing Address:
    Post Office Box 537
    Helena, Montana 59624-0537
(406) 444-7794, Fax: (406) 444-7798
E-mail: pkessner@state.mt.us

Montana State Fund—http://www.montanastatefund.com/
Street Address:
5 South Last Chance Gulch
Helena, Montana 59601
Mailing Address:
Post Office Box 4759
Helena, Montana 59604-4759
(406) 444-6500, Claim Reporting/ Customer Service: (800) 332-6102, Fraud Reporting: (888) 682-7463

Self Insurers’ Guaranty Fund
Post Office Box 4133
Missoula, Montana 59806
(406) 549-8849

Nebraska

State of Nebraska—http://www.nebraska.gov/
Workers’ Compensation Court—http://www.wcc.ne.gov/
Street Address:
Lincoln, Nebraska 68509
State House, 13th Floor
Mailing Address:
Post Office Box 98908
Lincoln, Nebraska 68509-8908
(800) 599-5155 (in Nebraska only), (402) 471-6468 (Lincoln and out of state), Fax: (402) 471-2700

Nevada

State of Nevada—http://www.nv.gov/
Department of Business & Industry—http://dbi.state.nv.us/
In Northern Nevada: 
788 Fairview Avenue, Suite 100
Carson City, Nevada 89701-5491
(775) 687-4250, Fax: (775) 687-4266
E-Mail: biinfo@dbi.state.nv.us

In Southern Nevada: 
555 E. Washington Avenue, Suite 4900
Las Vegas, Nevada 89101
(702) 486-2750, Fax: (702) 486-2758
E-Mail: biinfo@dbi.state.nv.us

Division of Industrial Relations—http://dirweb.state.nv.us/
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7260, Fax: (775) 687-6305

Workers’ Compensation Section—http://dirweb.state.nv.us/WCS/wcs.htm
1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89074
(702) 486-9080, Fax: (702) 990-0364
E-mail: wcshelp@dbi.state.nv.us
Northern District:
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7270, Fax: (775) 687-6305
Southern District:
1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89074
(702) 486-9080, Fax: (702) 990-0364

Nevada Attorney for Injured Workers—http://naiw.nv.gov/

2200 South Rancho Drive, Suite 230
Las Vegas, Nevada 89102
(702) 486-2830, Fax: (702) 486-2844
E-mail: naiw@naiw.nv.gov

1000 East William Street, Suite 208
Carson City, Nevada 89701
(775) 684-7555, Fax: (775) 684-7575
E-mail: naiw@naiw.nv.gov

Employers Insurance Company of Nevada—http://www.employers.com/
10375 Professional Circle Reno, NV 89521-4802

(888) 682-6671; Claim Reporting: (888) 900-1455, Fax: (888) 527-3422; Underwriting/Insurance Services: (888) 682-6671 
E-mail: info@eigwc.com

New Hampshire

State of New Hampshire—http://www.nh.gov/
Department of Labor—http://www.labor.state.nh.us/
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3177
Workers’ Compensation Division—http://www.labor.state.nh.us/workers_compensation.asp
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3174 (claims), (603) 271-2042 (coverage), (603) 271-6172 (self-insurance), (603) 271-3328 (vocational rehabilitation)
Click here to download free fillable PDF (Portable Document Format) versions of New Hampshire workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

New Jersey

State of New Jersey—http://www.state.nj.us/
Department of Labor—http://www.state.nj.us/labor/
John Fitch Plaza
Post Office Box 110
Trenton, New Jersey 08625
(609) 292-2323, Fax: (609) 633-9271
Division of Workers’ Compensation—http://www.nj.gov/labor/wc/wcindex.html
Post Office Box 381
Trenton, New Jersey 08625-0381
(609) 292-2515, Fax: (609) 984-2515
 E-mail: dwc@dol.state.nj.us
Click here to download free fillable PDF (Portable Document Format) versions of New Jersey workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

N.J. Compensation Rating and Inspection Bureau—http://www.njcrib.com/
60 Park Place
Newark, New Jersey 07102
(973) 622-6014, Fax: (973) 622-6110

New Mexico

State of New Mexico—http://www.newmexico.gov/
Workers’ Compensation Administration—http://www.workerscomp.state.nm.us/
Mailing Address:
Post Office Box 27198
Albuquerque, New Mexico 87125-7198
Street Address:
2410 Centre Avenue SE
Albuquerque, New Mexico 87125
(800) 255-7965, (505) 841-6000, Fax: (505) 841-6009
Help Line/Hot Line: (866) WORKOMP (967-5667), TTY/TDD: (505) 841-6043, E-mail: wca.hotline@state.nm.us

New York

State of New York—http://www.ny.gov/
New York State Workers’ Compensation Board—http://www.wcb.state.ny.us/
20 Park Street
Albany, New York 12207
 (877) 632-4996, Fax: (518) 473-1415, Fraud: (888) 363-6001
Click here to download free fillable PDF (Portable Document Format) versions of New York workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

New York State Insurance Fund—http://ww3.nysif.com/
199 Church Street
New York, New York 10007
(888) 875-5790, (212) 312-9000, Fax: (212) 385-2073

North Carolina

State of North Carolina—http://www.ncgov.com/
Department of Commerce—http://www.nccommerce.com/
Mailing Address:
4301 Mail Service Center
Raleigh, North Carolina 27699-4301
Street Address:
301 North Wilmington Street
Raleigh, NC 27020-0571
(919) 733-4151

North Carolina Industrial Commission—http://www.ic.nc.gov/
Mailing Address:
4340 Mail Service Center
Raleigh, North Carolina 27699-4340
Street Address:
Dobbs Building (sixth floor)
430 North Salisbury Street
Raleigh, North Carolina 27603-5937
(919) 807-2500, Fax: (919) 715-0280, InfoSpec@ic.nc.gov, Fraud: fraudcomplaints@ic.nc.gov, Safety: safety@ic.nc.gov
    Fraud Investigations Section: (888) 891-4895 (in North Carolina), fraudcomplaints@ic.nc.gov—http://www.ic.nc.gov/ncic/pages/fraud.htm
    Safety Education Section: (919) 807-2603, safety@ic.nc.gov—http://www.ic.nc.gov/ncic/pages/safety.htm
    Workers’ Compensation Information Specialists Section (formerly Ombudsman Section): (800) 688-8349, InfoSpec@ic.nc.gov—http://www.ic.nc.gov/ncic/pages/ombudsmn.htm
Click here to download free fillable PDF (Portable Document Format) versions of North Carolina workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

 

North Dakota

State of North Dakota—http://www.nd.gov/
Workforce Safety & Insurance—http://www.WorkforceSafety.com/
1600 East Century Avenue, Suite One
Bismarck, North Dakota 58506-5585
(800) 777-5033, (701) 328-3800; Fax: (701) 328-3820; Fraud: (800) 243-3331; Safety and Loss Prevention: (701) 328-3886; TDD: (701) 328-3786
E-mail: WorkforceSafety@wcb.state.nd.us
Workforce Safety & Insurance Board of Directors
Post Office Box 2174
Bismarck, North Dakota 58502-2174

Ohio

State of Ohio—http://ohio.gov/
Ohio Bureau of Workers’ Compensation—http://www.ohiobwc.com/
30 West Spring Street
Columbus, Ohio 43215-2256
E-mail: Feedback@bwc.state.oh.us
(800) OHIOBWC (800-644-6292); Fax: (877) 520-OHIO (6446); TTY: (800) BWC-4-TDD (800-292-4833); Authorized Consent for Release of Information: Fax: (614) 621-3376; Ombudsman: (800) 335-0996, Fax: (614) 644-1998, Ombudsperson@bwc.state.us.us
Click here to download free fillable PDF (Portable Document Format) versions of Ohio workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Commission of Ohio—http://www.ohioic.com/index.jsp
30 West Spring Street
Columbus, Ohio 43215-2256
(800) 521-2691, (614) 466-6136, Fax: (614) 752-8304

Oklahoma

State of Oklahoma—http://www.ok.gov/ 
Oklahoma Workers’ Compensation Court—http://www.owcc.state.ok.us/
Oklahoma City Location:
Denver N. Davison Court Building
1915 North Stiles Avenue
Oklahoma City, Oklahoma 73105
Tulsa Location:
440 South Houston, Suite 210
Tulsa, Oklahoma 74127
(800) 522-8210 (statewide), (405) 522-8600 (Oklahoma City) and (918) 581-2714 (Tulsa), Fax: (405) 522-8687 (administration)

Department of Labor—http://www.okdol.state.ok.us/
4001 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105-5212
(888) 269-5353, (405) 528-1500 Fax: (405) 528-5751
    Workers’ Compensation Enforcement Unit—http://www.okdol.state.ok.us/workcomp/index.htm
    Worker Safety Policy Council—http://www.okdol.state.ok.us/wspc/index.htm

CompSource Oklahoma—http://www.compsourceok.com/
Mailing Address (Oklahoma City):
Post Office Box 53505
Oklahoma City, Oklahoma 73152-3505
Street Address (Oklahoma City):
1901 North Walnut Avenue
Oklahoma City, Oklahoma 73105-3295
 (800) 347-3863, (405) 232-7663; Teleclaim (to report an injury): (800) 872-7015; Claims Information: (800) 462-7966, (405) 962-3872; Fax: (405) 962-3000, Fraud Hotline: (800) 899-1847
 Claims Information: claims@compsourceok.com, Fraud: fraud@compsourceok.com
Street Addresses (Tulsa Branch Office):
 1305 South Denver Avenue
Tulsa, Oklahoma 74119-3040
 Mailing Address (Tulsa Branch Office):
Post Office Box 50580
Tulsa, Oklahoma 74150-0580
(800) 347-3863, (918) 295-1500

Oregon

State of Oregon—http://www.oregon.gov/
Department of Consumer & Business Services—http://egov.oregon.gov/DCBS/
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4100, Fax: (503) 378-6444

Workers’ Compensation Division—http://wcd.oregon.gov/
350 Winter Street NE, Room 27
Salem, Oregon 97301-3879
(800) 452-0288 (Workers’ Compensation Infoline); (503) 947-7810, Fax: (503) 947-7514; TTY: (503) 947-7993; Fraud Hotline: (800) 422-8778 (in Oregon); Small Business Ombudsman: (503) 378-4209, Fax: (503) 373-7639; Ombudsman for Injured Workers: (800) 927-1271, (503) 378-3351, Fax: (503) 373-7639

Workers’ Compensation Board—http://www.cbs.state.or.us/external/wcb/index.html
2601 25th Street SE, Suite 150
Salem, Oregon 97302-1282
(503) 378-3308

Workers’ Compensation Management-Labor Advisory Committee—http://www.oregon.gov/DCBS/MLAC/
Department of Consumer & Business Services
350 Winter Street, Room 200
Salem, Oregon 97301-3878
(503) 947-7867; Fax: (503) 378-6444

Ombudsman for Injured Workers— http://egov.oregon.gov/DCBS/OIW/index.shtml
350 Winter Street NE, Room 160
Salem, Oregon 97310
(800) 927-1271, (503) 378-3351

Ombudsman for Small Business—http://egov.oregon.gov/DCBS/SBO/index.shtml
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4209, V/TTY: (503) 378-4100

SAIF Corporation—http://www.saif.com/
400 High Street SE
Salem, Oregon 97312-1000
(800) 285-8525, (503) 373-8000

Pennsylvania

State of Pennsylvania—http://www.pa.gov/portal/server.pt
Department of Labor and Industry—http://www.dli.state.pa.us/
Labor & Industry Building
Room 1700
7th and Forster Streets
Harrisburg, Pennsylvania 17120
(717) 787-5279
Bureau of Workers’ Compensation—http://www.dli.state.pa.us/landi/cwp/view.asp?a=138&q=220671
1171 South Cameron Street, Room 324
Harrisburg, Pennsylvania 17104-2501
(800) 482-2383 (inside Pennsylvania), (717) 772-4447 (local/out of state), TTY: (800) 362-4228 (for hearing and speech impaired only)
E-mail:  ra-li-bwc-helpline@state.pa.us
Click here to download free fillable PDF (Portable Document Format) versions of Pennsylvania workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

State Workers’ Insurance Fund—http://www.dli.state.pa.us/landi/cwp/view.asp?a=151&q=209835
Street Address
100 Lackawanna Avenue
Scranton, Pennsylvania 18503
Mailing Address
Post Office Box 5100
Scranton, Pennsylvania 18505-5100
(570) 963-4635
E-mail: ra-li-e-mail-swif@state.pa.us

Workers’ Compensation Appeal Board--http://www.dli.state.pa.us/landi/cwp/view.asp?a=296&q=202912
1171 South Cameron Street, Room 305
Harrisburg, Pennsylvania 17104-2511
(717) 783-7838, Fax: (717) 772-0343

Rhode Island

State of Rhode Island—http://sos.ri.gov/
Workers’ Compensation Court—http://www.courts.state.ri.us/workers/defaultnew-workers.htm
One Dorrance Plaza
Providence, Rhode Island 02903
(401) 458-5000, Fax: (401) 222-3121

Medical Advisory Board—http://www.courts.ri.gov/workers/medical/medical-advisory.htm
One Dorrance Plaza
Providence, Rhode Island 02903
(401) 458-3460

Workers’ Compensation Advisory Council
194 Smith Street
Providence, Rhode Island 02908
(401) 751-7100

Department of Labor and Training—http://www.dlt.ri.gov/
1511 Pontiac Avenue
Cranston, Rhode Island 02920-4407
(401) 462-8000
Workers’ Compensation Division—http://www.dlt.ri.gov/wc/
Street Address:
1511 Pontiac Avenue, Building 69, Second Floor
Cranston, Rhode Island 02920-0942
Mailing Address:
Post Office Box 20190
Cranston, Rhode Island 02920-0190
(401) 462-8100, Fax: (401) 462-8105, TDD: (401) 462-8006
Click here to download free fillable PDF (Portable Document Format) versions of Rhode Island workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

South Carolina

State of South Carolina—http://www.sc.gov/
Workers’ Compensation Commission—http://www.wcc.sc.gov/
Street Address:
1612 Marion Street
Columbia, South Carolina 29201
Mailing Address:
Post Office Box 1715
Columbia, South Carolina 29202-1715
(803) 737-5700, Fax: (803) 737-5768
Click here to download free fillable PDF (Portable Document Format) versions of South Carolina workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

South Carolina State Accident Fund—http://www.saf.sc.gov/
Street Address:
800 Dutch Square Boulevard
Columbia, South Carolina 29221
Mailing Address:
Post Office Box 102100
Columbia, South Carolina 29221-5000
(800) 521-6576, (803) 896-5800

South Carolina Second Injury Fund--http://www.scsif.sc.gov/
220 Executive Center Drive
Winthrop Building, Suite 119
Columbia, South Carolina 29210
(803) 798-2722, Fax: (803) 798-5290
    South Carolina Workers’ Compensation Uninsured Employers’ Fund
    220 Executive Center Drive
    Winthrop Building, Suite 119
    Columbia, South Carolina 29210
    (803) 798-2722, Fax: (803) 798-5290

South Carolina Self-Insurers Association—http://www.scselfinsurers.com/
215 Holly Ridge Lane
West Columbia, SC 29169
(803) 794-2080, Fax: (803) 939-8366

South Dakota

State of South Dakota—http://www.sd.gov/
Department of Labor—http://dol.sd.gov/
Workers’ Compensation Program—http://dol.sd.gov/workerscomp/default.aspx
Kneip Building
700 Governors Drive
Pierre, South Dakota 57501-2291
E-mail: labor@dol-pr.state.sd.us
(605) 773-3681, Fax: (605) 773-4211
Workers’ Compensation Advisory Council—http://dol.sd.gov/workerscomp/advisorycouncil.aspx

Tennessee

State of Tennessee—http://www.tennessee.gov/
Department of Labor and Workforce Development—http://www.tennessee.gov/labor-wfd/
Workers’ Compensation Division—http://www.state.tn.us/labor-wfd/wcomp.html 
710 James Robertson Parkway
Gateway Plaza, Second Floor
Nashville, Tennessee 37243-0665
(800) 332-2667 (within Tennessee), (615) 532-4812, Fax: (615) 532-1468
Click here to download free fillable PDF (Portable Document Format) versions of Tennessee workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Texas

State of Texas—http://www.state.tx.us/
 Department of Insurance—http://www.tdi.state.tx.us/
Street Address
333 Guadalupe
Austin, Texas 78701
Mailing Address
Post Office Box 149104
Austin, Texas 78714-9104
(800) 578-4677, (512) 463-6169
Division of Workers’ Compensation—http://www.tdi.state.tx.us/wc/indexwc.html
7551 Metro Center Drive, Suite 100
Austin, Texas 78744-1609
Main number: (512) 804-4000; Commissioner’s office: (512) 804-4435, fax: (512) 804-4401; Field Offices: (800) 252-7031 (local customer service); Fraud Hotline: (888) 327-8818 or (512) 804-4703; Safety Violations Hotline: (800) 452-9595; Technical Help Desk (TXCOMP, EDI) (888) 4-TXCOMP
E-Mail: WorkersCompCustomerServices@tdi.state.tx.us  
Click here to download free fillable PDF (Portable Document Format) versions of Texas workers’ compensation forms: http://www.tdi.state.tx.us/forms/form20all.html.

Utah

State of Utah—http://www.utah.gov/ 
Labor Commission—http://www.laborcommission.utah.gov/
Division of Industrial Accidents—http://www.laborcommission.utah.gov/IndustrialAccidents/index.html
Mailing Address:
Post Office Box 146610
Salt Lake City, Utah 84114-6610
Street Address:
160 East 300 South, 3rd Floor
Salt Lake City, Utah 84111
(800) 530-5090 (in state only), (801) 530-6800, Fax: (801) 530-6804, TDD:  (801) 530-7685
iaccd@utah.gov

 

Vermont

State of Vermont—http://vermont.gov/
Department of Labor—http://labor.vermont.gov/
Street Address
5 Green Mountain Drive
Montpelier, Vermont 05601-0488
Mailing Address
Post Office Box 488
Montpelier, Vermont 05601-0488
(802) 828-4000, Fax: (802) 828-4022

Workers’ Compensation Division
FAQ for Injured Workers—http://labor.vermont.gov/Workers/Injured/tabid/110/Default.aspx
FAQ for Businesses—http://159.105.83.167/WorkersCompensation/tabid/114/default.aspx
National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2286, Fax: (802) 828-2195
Click here to download free fillable PDF (Portable Document Format) versions of Vermont workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Virginia

Commonwealth of Virginia—http://www.virginia.gov/
Virginia Workers’ Compensation Commission—http://www.vwc.state.va.us
1000 DMV Drive
Richmond, Virginia 23220
(877) 664-2566, Fax: (804) 367-9740, TDD: (804) 367-8600
E-mail: Questions@vwc.state.va.us
Click here to download free fillable PDF (Portable Document Format) versions of Virginia workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Washington

State of Washington—http://access.wa.gov/
Department of Labor and Industries—http://www.lni.wa.gov/
Labor and Industries Building
Post Office Box 44001
Olympia, Washington 98504-4001
(800) 547-8367, (360) 902-4200, Fax: (360) 902-4202
Workers’ Comp Claims—http://www.lni.wa.gov/ClaimsIns/Claims/default.asp

Board of Industrial Insurance Appeals—http://www.biia.wa.gov/
Street Address:
2430 Chandler Court, SW
Olympia, Washington 98504-2401
Mailing Address:
Post Office Box 42401
Olympia, Washington 98504-2401
(800) 442-0447, (360) 753-9646, Fax: (360) 586-5611
Click here to download free fillable PDF (Portable Document Format) versions of Washington workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

West Virginia

West Virginia—http://www.wv.gov/
Insurance Commission—http://www.wvinsurance.gov

BrickStreet Mutual Insurance Company—http://www.brickstreet.com/
(formerly West Virginia Workers’ Compensation Commission)
Mailing Address:
Post Office Box 3824
Charleston, West Virginia 25338-3824
Street Address:
 400 Quarrier Street
Charleston, West Virginia 25301
Administrative Services: (888) 4-WV-COMP and (304) 926-3400, Fax: (304) 926-5372; Claims: ClaimsInquiries@brickstreet.com; Fraud: reportfraud@brickstreet.com; Insurance: (866) 45BRICK (452-7425) and (304) 941-1000, Fax: (304) 304-941-1151; Providers: ProviderInquiries@brickstreet.com; Safety Services: SafetyServicesInquiries@brickstreet.com

Wisconsin

Department of Workforce Development—http://www.dwd.state.wi.us/
Workers’ Compensation Division—http://www.dwd.state.wi.us/wc/default.htm
Mailing Address:
 Post Office Box 7901
Madison, Wisconsin 53707-7901
Street Address:
 Room C100
201 East Washington Avenue
Madison, Wisconsin 53703
(608) 266-1340; Fax: (608) 267-0394; Fraud (608) 261-8486
Click here to download free fillable PDF (Portable Document Format) versions of Wisconsin workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Workers’ Compensation Advisory Council—http://www.dwd.state.wi.us/wc/councils/wcac/default.htm
(608) 266-6841
    Frances Huntley-Cooper, Chairman

Wisconsin Compensation Rating Bureau—https://www.wcrb.org/WCRB/wcrbhome.htm
Mailing Address:
 Post Office Box 3080
Milwaukee, WI 53201-3080
Street Address:
 20700 Swenson Drive, Suite 100
Waukesha, Wisconsin 53186
(262) 796-4540, Fax: (262) 796-4400

Wisconsin Labor and Industry Review Commission—http://www.dwd.state.wi.us/lirc/
Mailing Address:
Post Office Box 8126
Madison, Wisconsin 53708-8126
Street Address:
Wisconsin Public Broadcasting Building
3319 West Beltline Highway
Madison, Wisconsin
(608) 266-9850 Fax: (608) 267-4409
E-mail: dwdlirc@dwd.state.wi.us

Wyoming

State of Wyoming—http://wyoming.gov/
Department of Employment—http://wydoe.state.wy.us/
Cheyenne Business Center
 1510 East Pershing Boulevard
Cheyenne, Wyoming 82002
(307) 777-7672, Fax: (307) 777-5805
    Cindy Pomeroy, Director, (307) 777-5960, CPOMER@state.wy.us
     Charles Rando, Administrator, (307) 777-6370, CRANDO@state.wy.us

Workers’ Safety and Compensation Division—http://wydoe.state.wy.us/doe.asp?ID=9
Cheyenne Business Center
 1510 East Pershing Boulevard
Cheyenne, Wyoming 82002
(307) 777-7159, Fax: (307) 777-5524.
    To Report an Injury: (800) 870-8883 or (307) 777-7441, Fax: (307) 777-6552.
    To Report Fraud: (888) 996-9226 or (307) 777-6552, Fax: (307) 777-3581. 
    Gary Child, Administrator, (307) 777-7159, Fax: (307) 777-5524, GCHILD@state.wy.us

Employment Tax Division—http://wydoe.state.wy.us/doe.asp?ID=10
Post Office Box 2760
Casper, Wyoming 82602-2760
(307) 235-3201 (Casper) or (307) 777-7471 (Cheyenne)

Other U.S. Areas

American Samoa

American Samoa—http://www.government.as/
Workmen’s Compensation Commission
Office of the Governor
Pago Pago, American Samoa 96799
(684) 633-4116

Guam

Government of Guam—http://www.guam.gov/
Department of Labor/Agency for Human Resources Development—http://www.dol.guam.gov/
Workers’ Compensation Commission—http://www.guamdol.net/content/view/27/83/
Street Address:
414 West Soledad Avenue
GCIC Building
Hagatna, Guam 96910
Mailing Address:
Post Office Box 9970
Tamuning, Guam 96931-9970
(671) 475-7033 and (671) 475-7034, Fax: (671) 475-7026

Navajo Nation

Navajo Nation—http://www.navajo.org/
Workers’ Compensation Program
Post Office Box 2489
Window Rock, Arizona 86515
(928) 871-6389, Fax: (928) 871-6087

Northern Mariana Islands

Commonwealth of the Northern Mariana Islands—http://www.gov.mp/
 Caller Box 10,007
Saipan, MP 96950
USA
(670) 664-2200

Return to top of page

Puerto Rico

Puerto Rico—http://www.gobierno.pr/
Comisión Industrial de Puerto Rico—http://www.cipr.gobierno.pr/
Post Office Box 364466
San Juan, Puerto Rico 00936-4466
(787) 781-0545, Fax: (787) 783-5610
E-mail: contacto@cipr.gobierno.pr

State Insurance Fund
Post Office Box 5028
San Juan, Puerto Rico 00936

Virgin Islands

Department of Labor—http://www.vidol.gov/
St. Croix (Main Office)
302 King Street
St. Croix, Virgin Islands 00840-4612
(340) 773-1994, Fax: (340) 772-3365
St. Thomas (Main Office)
Post Office Box 302608
St. Thomas, Virgin Islands 00803-2608
(340) 776-3700, Fax: (340) 774-5908
Workers’ Compensation Administration—http://www.vidol.gov/Units/Workers_Compensation/Workers_Comp.htm
3012 Vitraco Mall, Golden Rock
Christiansted
St. Croix, Virgin Islands 00820-4666
(809) 692-9390, Fax: (809) 773-4338

This Workers’ Compensation Administrators Directory was compiled by Robert W. McDowell for the North Carolina Industrial Commission, 4340 Mail Service Center, Raleigh, North Carolina 27699-4340

N.C. Industrial Commission ·  4340 Mail Service Center ·  Raleigh, NC 27699-4340
Main Telephone: (919) 807-2500 ·  Fax: (919) 715-0280
NCIC Home Page: http://www.ic.nc.gov/

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