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

Hawaii

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

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

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

Idaho

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

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

Illinois

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

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

Indiana

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

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

Iowa

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

Kansas

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

Kentucky

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

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

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

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

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

Louisiana

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

Maine

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

Maryland

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

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

Massachusetts

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

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

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

Michigan

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

Board of Magistrates—http://www.michigan.gov/wca/0,1607,7-191-26919—,00.html
Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380, Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987

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

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

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

Minnesota

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

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

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

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Mississippi

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

Missouri

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

• Division of Workers’ Compensation—http://www.dolir.missouri.gov/wc/
  Street Address:
  3315 West Truman Boulevard, Room 131
  Jefferson City, Missouri 65102
  Mailing Address:
  Post Office Box 58
  Jefferson City, Missouri 65102-0058
  (573) 751-4231, Fax: (573) 751-2012, Employee Hotline: (800) 775-2667, Employer Hotline: (888) 837-6069, Fraud and Noncompliance: (800)-592-6003, (573)-526-6630, Workers’ Safety Program: (573) 526-3504
  E-mail: Workerscomp@dolir.mo.gov
  Click here to download free fillable PDF (Portable Document Format) versions of Missouri workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/
   

• Labor and Industrial Relations Commission—http://www.dolir.state.mo.us/lirc/index.htm
  3315 West Truman Boulevard
  Jefferson City, Missouri 65102
      or
  Post Office Box 599
  Jefferson City, Missouri 65102-0599
  (573) 751-2461, Fax: (573) 751-7806

Montana

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

Employment Relations Division—http://erd.dli.mt.gov/
Street Address:
Beck Building
1805 Prospect Avenue
Helena, MT 59624
Mailing Address:
Post Office 8011
Helena, MT 59604-8011
(406) 444-6543

Workers’ Compensation Claims Assistance Bureau—http://erd.dli.mt.gov/wcca-bureau.html
Street Address:
Beck Building
1805 Prospect Avenue
Helena, Montana 59624
Mailing Address:
Post Office Box 8011
Helena, Montana 59624-8011
(406) 444-6543, Fax: (406) 444-3465, Mediation: (406) 444-6534, TDD: (406) 444-9696
E-mail: jakoehl@mt.gov

Workers’ Compensation Regulations Bureau—http://erd.dli.mt.gov/workers-comp-regulations-bureau.html
Street Address:
Beck Building
1805 Prospect Avenue
Helena, Montana 59624
Mailing Address:
Post Office Box 8011
Helena, Montana 59624-8011
(406) 444-6541, Fax: (406) 444-3465

 

 

 

 

 

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

Montana State Fund—http://www.montanastatefund.com/
Street Address:
855 Front Street
Helena, Montana 59601
Mailing Address:
Post Office Box 4759
Helena, Montana 59604-4759
Claim Reporting/Customer Service: (800) 332-6102 or (406) 444-6500, Fraud Reporting: (888) 682-7463, TDD-TTY: (406) 495-5030

Montana Self-Insurers Guaranty Fund
5865 Rosendale Road
East Helena, MT 59635-9727
(406) 475-3766, mtguarantyfund@mt.net

Nebraska

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

Nevada

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

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

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

Industrial Insurance Regulation Section—http://dirweb.state.nv.us/iirs.htm
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7270, Fax: (775) 687-6305

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

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

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

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

EMPLOYERS Insurance—http://www.employers.com
10375 Professional Circle
Reno, Nevada 89521-4802
Customer Service: (888) 682-6671, Fax: (888) 527-3422, E-mail: renoinfo@employers.com; Fraud Hotline: (800) 750-3939, E-mail: fraudunit@employers.com; Loss Control: (800) 588-5200; losscontrol@employers.com; Audit/Collections: (800) 677-3252, E-mail: customersupport@employers.com.

New Hampshire

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

New Jersey Workers Compensation Lawyers

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

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

New Mexico

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

New York Workers Compensation Lawyers

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

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

North Carolina Workers Compensation Lawyers

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

North Carolina Industrial Commission—http://www.ic.nc.gov/
Mailing Address:
4340 Mail Service Center
Raleigh, North Carolina 27699-4340
Street Address:
Dobbs Building (sixth floor)
430 North Salisbury Street
Raleigh, North Carolina 27603-5937
(800) 688-8349, (919) 807-2501, Fax: (919) 715-0280, InfoSpec@ic.nc.gov, Fraud: fraudcomplaints@ic.nc.gov, Safety: safety@ic.nc.gov
    Fraud Investigations Section: (888) 891-4895 (in North Carolina), fraudcomplaints@ic.nc.gov—http://www.ic.nc.gov/fraud.html
    Safety Education Section: (919) 807-2603, safety@ic.nc.gov—http://www.ic.nc.gov/safety.html
    Workers’ Compensation Information Specialists Section (formerly Ombudsman Section): (800) 688-8349, InfoSpec@ic.nc.gov—http://www.ic.nc.gov/infospec.html
Click here to download free fillable PDF (Portable Document Format) versions of North Carolina workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

North Dakota

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

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Ohio

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

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

Oklahoma

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

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

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

Oregon

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

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

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

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

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

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

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

Pennsylvania

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

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

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

Rhode Island

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

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

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

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

South Carolina Workers Compensation Lawyers

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

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

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

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

South Dakota

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

Tennessee Workers Compensation Lawyers

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

Texas

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

Workers Compensation lawyers Resource Guide

Utah

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

Workers’ Compensation Fund—https://www.wcfgroup.com/wcfWebsite/homePage.do
Salt Lake City Office
392 East 6400 South
Murray, Utah 84107
(800) 446-2667

Vermont

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

Workers’ Compensation & Safety Division—http://labor.vermont.gov/Business/WorkersCompensation/tabid/114/Default.aspx
Street Address
5 Green Mountain Drive
Montpelier, Vermont 05601-0488
Mailing Address
Post Office Box 488
Montpelier, Vermont 05601-0488
(802) 828-2286, Fax: (802) 828-2195
Click here to download free fillable PDF (Portable Document Format) versions of Vermont workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Virginia

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

Washington

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

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

West Virginia

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

BrickStreet Mutual Insurance Company—http://www.brickstreet.com/
(formerly West Virginia Workers’ Compensation Commission)
Mailing Address:
Post Office Box 3824
Charleston, West Virginia 25338-3824
Street Address:
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Charleston, West Virginia 1
Administrative Services: (888) 4-WV-COMP and ClaimsInquiries@brickstreet.com; Fraud: reportfraud@brickstreet.comInsurance: (866) 45BRICK (452-7425) and (304) 941-1000, Fax: (304) 304-941-1151; Providers: ProviderInquiries@brickstreet.com; Safety Services: SafetyServicesInquiries@brickstreet.com

Workers’ Compensation Office of Judges—http://www.wvinsurance.gov/ooj/
Mailing Address:
Post Office Box 2233
Charleston West Virginia 25328-2233
Street Address:
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(304) 558-1686, Fax: (304) 558-1021

Workers’ Compensation Board of Review—http://www.wvinsurance.gov/boardofreview/index.htm
Mailing Address:
Post Office Box 2628
Charleston, West Virginia 25329-2628
Street Address:
104 Dee Drive
Charleston, West Virginia 25301
(304) 558-5230, Fax: (304) 558-1322

Workers’ Compensation Industrial Council—http://www.wvinsurance.gov/wc/industrialcouncil/index.htm

Wisconsin

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

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

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

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

Wyoming

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

Workers’ Safety and Compensation Division

—

http://wydoe.state.wy.us/doe.asp?ID=9

Cheyenne Business Center

1510 East Pershing Boulevard

Cheyenne, Wyoming 82002

(307) 777-7159

, Fax:

(307) 777-5524

.

    To Report an Injury:

(800) 870-8883

or

(307) 777-7441

, Fax:

(307) 777-6552

.

    To Report Fraud:

(888) 996-9226

or

(307) 777-6552

, Fax:

(307) 777-3581

. 

Gary Child

, Administrator,

(307) 777-7159

, Fax:

(307) 777-5524

,

GCHILD@state.wy.us

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

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Other U.S. Areas

American Samoa

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

Guam

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

Navajo Nation

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

Northern Mariana Islands

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

Puerto Rico

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

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

Virgin Islands

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