Arizona
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
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Colorado
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
New Mexico
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Utah
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Nevada
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Alabama
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Alaska
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Arkansas
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
California
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Connenticut
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Delaware
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Florida
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Georgia
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Hawaii
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Idaho
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Illinois
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Indiana
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Iowa
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Kansas
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Kentucky
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Louisiana
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Maine
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Massachusetts
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Maryland
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Michigan
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Minnesota
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Mississippi
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Missouri
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Montana
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Nebraska
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
New Hampshire
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
New Jersey
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
New York
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
North Carolina
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
North Dakota
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Ohio
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Oklahoma
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Oregon
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Rhode Island
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Pennslyvania
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
South Carolina
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
South Dakota
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Tenneessee
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Texas
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Vermont
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Virginia
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Washington
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
West Virginia
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Wisconsin
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Wyoming
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Washington, D.C.
Claims Kit Contents
Claims Handled By
CopperPoint Insurance Company
3030 North 3rd Street
Phoenix, AZ 85012
Email: ask@copperpoint.com
Phone: 602.631.2300
Phone: 800.231.1363
Alabama
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Arizona
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Arkansas
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Alaska
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
7001 Jewel Lake Road
Anchorage, AK 99502
Fax: 907.266.9250
Workers' Comp Claims: anc_claims@alaskanational.com
California
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
SFO_Claims@alaskanational.com
Colorado
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Connecticut
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Delaware
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Florida
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Georgia
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Hawaii
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Idaho
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Illinois
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Indiana
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Iowa
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Kansas
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Kentucky
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Louisiana
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Maine
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Massachusetts
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Maryland
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Michigan
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Minnesota
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Mississippi
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Missouri
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Montana
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Nebraska
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Nevada
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
New Hampshire
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
New Jeresy
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
New Mexico
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
New York
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
North Carolina
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
North Dakota
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Ohio
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Oklahoma
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Oregon
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Pennslyvania
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Rhode Island
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
South Carolina
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
South Dakota
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Tennessee
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Texas
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Utah
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Vermont
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Virginia
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Washington
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
West Virginia
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Wisconsin
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Wyoming
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Washington, D.C.
Claims Kit Contents
Claims Handled By
Alaska National Insurance Company
2501 E State Ave., Suite 100
Meridian, ID 83642
208-955-8036
Fax: (208) 780-7943
boi_claims@alaskanational.com
Arizona
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Alabama
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Alaska
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Arkansas
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
California
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 36070
Phoenix, AZ 85067
Colorado
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Connecticut
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Delaware
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Florida
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Georgia
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Hawaii
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Idaho
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Illinois
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Indiana
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Iowa
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Kansas
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Kentucky
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Louisiana
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Maine
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Massachusetts
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Maryland
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Michigan
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Minnesota
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Mississippi
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Missouri
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Montana
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Nebraska
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Nevada
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
New Hampshire
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
New Jersey
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
New Mexico
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
New York
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
North Carolina
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
North Dakota
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Ohio
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Oklahoma
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Oregon
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Pennsylvania
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Rhode Island
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
South Carolina
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
South Dakota
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Tennessee
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Texas
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Utah
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Vermont
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Virginia
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Washington
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
West Virginia
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Wisconsin
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Wyoming
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Washington, D.C.
Claims Kit Contents
Claims Handled By
PacificComp Insurance Company
P.O. Box 5042
Thousand Oaks, CA 91359-5042
Forms
Fatality Report
Required
Notice of Employee Death
Required
Report of Injury or Illness
Required
Supplemental Report of Injury
Required
Posters and Brochures
OFFICIAL NOTICE Panel of Physicians
Required
BROCHURE - Workers
Required
Employee Rights and Duties form
Required
Notice of Reported Injury
Required
OFFICIAL NOTICE WC/MCO Panel
Required
POSTER - Anti-Fraud Poster
Required
POSTER - Bill of Rights
Required
POSTER - Bill of Rights - (Spanish)
Required
POSTER - Drug Free Workplace
Required
POSTER - Fraud Poster
Required
POSTER - Informational Poster
Required
POSTER - Job Safety and Health
Required
POSTER - Job Safety and Health Law
Required
POSTER - Labor Law
Required
POSTER - Labor Law (Spanish)
Required
POSTER - Notice for Employees Poster
Required
POSTER - Notice of Coverage
Required
POSTER - Notice of Coverage
Required
POSTER - Notice of Coverage
Required
POSTER - Notice to Employees
Required
POSTER - Notice to Employees
Required
POSTER - Notice To Employees Poster
Required
POSTER - Poster of Instructions
Required
POSTER - Posting Notice
Required
POSTER - Safety on the Job Poster
Required
POSTER - WC Act Summary
Required
POSTER - WC Act Summary Spanish)
Required
POSTER - Workers' Compensation
Required
POSTER - Workers' Compensation
Required
POSTER - Workplace Notice
Required
POSTER - Workplace Notice (Spanish)
Required
Poster Regulations
Required
Statement of Rights (WCL)
Required
WCA - POSTER - 11 x 17 version
Required
WCA - POSTER - Fraud Poster
Required
State Compliance Information
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Penalties for Late Reporting
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Physician Selection
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Posting Requirements
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Reporting of Claim by Employer
Documents Provided by CopperPoint
After you complete the Employer’s Report of Injury form, located in the forms section above, please submit the form via your CopperPoint portal or email it to reportaclaim@copperpoint.com. CopperPoint will forward a copy of your report to the Industrial Commission of Arizona (ICA) on your behalf.
- Portal User Guides
- Pharmacy First Fill
- Worker's Report of Injury and Release of Medical Authorization
(to view and download, right mouse click on the link, select "save link as") - Medical Authorization Form
- Wage Form
- Travel Reimbursement - English
- Travel Reimbursement - Spanish
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Injured Worker Resources
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
The mailing address for medical bills from Arizona, Colorado, New Mexico, Nevada and Utah is:
CopperPoint Insurance Companies
Mail Stop: WCS 135801
PO Box 2979
Clinton, IA 52733-2979
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Travel Reimbursement
- Medical Provider List with Authorization
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return to Work Rule 6 Template
Return to Work Rule 6 for Provider
Colorado - Modified Duty Process Packet
Colorado - Modified Duty Job Offer
Supplemental Return to Work
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
The mailing address for medical bills from Arizona, Colorado, New Mexico, Nevada and Utah is:
CopperPoint Insurance Companies
Mail Stop: WCS 135801
PO Box 2979
Clinton, IA 52733-2979
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Medical Records Release
- Travel Reimbursement
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
The mailing address for medical bills from Arizona, Colorado, New Mexico, Nevada and Utah is:
CopperPoint Insurance Companies
Mail Stop: WCS 135801
PO Box 2979
Clinton, IA 52733-2979
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Travel Reimbursement
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
The mailing address for medical bills from Arizona, Colorado, New Mexico, Nevada and Utah is:
CopperPoint Insurance Companies
Mail Stop: WCS 135801
PO Box 2979
Clinton, IA 52733-2979
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Designated Provider List - Nevada
- Pharmacy First Fill
- Injured Employee's Request for Compensation (D-6)
- Mileage Form D-26
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Modified Duty - Nevada
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
The mailing address for medical bills from Arizona, Colorado, New Mexico, Nevada and Utah is:
CopperPoint Insurance Companies
Mail Stop: WCS 135801
PO Box 2979
Clinton, IA 52733-2979
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
- California SB 1159
- California, Go-Forward COVID-19 Employer Reporting Form
- Predesignation of Personal Physician
- Notice of Personal Chiropractor or Personal Acupuncturist
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- C-105 Form Required
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by CopperPoint
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Medical Provider Required Information
If you are a medical provider, please complete the proper form for your state and have the injured worker sign it. The completed and signed document should be mailed within the state's reporting guidelines. Be sure to fill out the form completely.
Please include your physical address, not a post office box number.
Medical Provider Billing Information
Please direct all CopperPoint billing questions and inquiries to our medical review partner Mitchell International at 855.942.1118.
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish 1
- 24/7 Injury Helpline Poster English/Spanish 2
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish 1
- 24/7 Injury Helpline Poster English/Spanish 2
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- Workers Compensation Injury Reporting Procedures Rev 06_2016
- AK Employer Supervisor Notice of Occupational Injury or Illness
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
- Longshore, Employer's First Report of Injury or Occupational Illness - LS-202
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill - English
- Pharmacy First Fill - Spanish
- Wage Statement
- Authorization To Release Personal Health Information
- Workers' Compensation Fraud Poster - English
- Workers' Compensation Fraud Poster - Spanish
- Workers' Compensation Fraud Poster - Chinese
- Information About Medical Care - California MPN - English/Spanish
- Employee Medical Care Declination - English/Spanish
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
- California SB 1159
- California, Go-Forward COVID-19 Employer Reporting Form
- Predesignation of Personal Physician
- Notice of Personal Chiropractor or Personal Acupuncturist
- Longshore, Employer's First Report of Injury or Occupational Illness - LS-202
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
- 24/7 Injury Helpline FAQ
- 24/7 Injury Helpline Poster English/Spanish
- 24/7 Injury Helpline Overview
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Consumer Privacy Statement
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by Alaska National
- Portal User Guides
- Pharmacy First Fill
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Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Documents Provided by PacificComp
- Portal User Guides
- Pharmacy First Fill
- Change of Address
- Witness Statement
- Accident Report - English
- Accident Report - Spanish
- Gramm-Leach-Bliley Act (GLBA) Privacy Notice - English
Return To Work
Return To Work Transitional Employment Offer Template
Return To Work Policy Guide
Arizona | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Alabama | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Alaska | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Arkansas | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
California | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Injured Workers Guide - English
California Division of Workers' Compensation (DWC) Fact Sheets
DWC Fact Sheets are documents that can be used by both the injured workers and the Policyholders to provide an overview of the laws that govern the claims administration process in the State of California. These forms are also available on the DWC website at www.dir.ca.gov
Employee Fact Sheets
Fact Sheet A: Utilization Review Fact Sheet – English | Spanish
Fact Sheet B: Glossary of Workers’ Comp Terms – English | Spanish
Fact Sheet C: Temporary Disability Fact Sheet – English | Spanish
Fact Sheet D: Permanent Disability Fact Sheet – English | Spanish
Fact Sheet E: Qualified Medical Evaluation/Agreed Medical Evaluation Fact Sheet – English | Spanish
Medical Records Release of Injured Worker
When injured workers sign this form, they give CopperPoint permission to obtain their medical records so that CopperPoint can evaluate their claim.
Mileage Reimbursement Request for Injured Worker Use
Injured workers should use this form to log their mileage for travel related to their medical treatment so that CopperPoint can reimburse them.
Colorado | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Connecticut | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Delaware | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Florida | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Georgia | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Hawaii | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Idaho | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Illinois | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Indiana | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Iowa | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Kansas | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Kentucky | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Louisiana | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Maine | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Massachusetts | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Maryland | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Michigan | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Minnesota | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Mississippi | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Missouri | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Montana | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Nebraska | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Nevada | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
New Hampshire | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
New Jersey | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
New Mexico | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s resources provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
New York | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
North Carolina | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
North Dakota | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Ohio | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Oklahoma | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Oregon | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Pennslyvania | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Rhode Island | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
South Carolina | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
South Dakota | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Tennessee | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Texas | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Utah | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s resources provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Vermont | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Virginia | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Washington | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
West Virginia | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Wisconsin | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Wyoming | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Washington, D.C. | Injured Worker Guide
The worker’s compensation system can be complicated, and each state has its own laws regarding workers’ compensation.
The information contained in your state’s guide provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers’ compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers’ compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers’ compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
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