How to report a work injury
As soon as you learn that one of your employees has been injured, report the injury to SFM using one of the methods below. Please note that if it’s an emergency, call 911 or get the employee to an emergency care facility before reporting the injury to SFM.
Important notes
- If you are part of the Wisconsin Worker’s Compensation Insurance Pool, please visit the reporting work injuries as a state program employer page.
- If you are a third-party administration client, please visit the report a TPA injury page.
- If you are a Minnesota Workers’ Compensation Assigned Risk Plan (ARP) client, report using the Superior Point online report form .
- On Minnesota claims, we are required to notify you that a person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.
- In Nebraska, please also send SFM the Notice of employee’s right to choose a doctor form in English or Spanish.
Report by phone
Call (855) 675-3501 to report by phone. During business hours (7 a.m. to 4 p.m., M-F) you can choose the report-only option (Option 1) if your employee does not need to speak with a nurse. If your employee has already received medical care, is not available for the call, or would not benefit from speaking with a nurse, choose Option 1. If your employee is not sure whether to get medical treatment, choose Option 2 to speak with a nurse. Calls outside of normal business hours will automatically be answered by a nurse.
If you’d like a copy of the claim report, log in to CompOnline®. (Registration is required.)
Report online
Complete the first report of injury form
OR
Report through CompOnline® (Registration is required.)
Report by fax
If you’d rather not call the hotline or report the injury online, you can complete your state’s paper First Report of Injury form and fax it to us at (800) 944-1169. Make sure to keep your fax confirmation sheet for your records to prove that you
reported on time.
- Indiana First Report of Injury form
- Iowa First Report of Injury form
- Kansas First Report of Injury form
- Minnesota First Report of Injury form
- Nebraska First Report of Injury form
- South Dakota First Report of Injury form
- Tennessee First Report of Injury form
- Wisconsin First Report of Injury form
Download claim packet
Our claim packet provides a step-by-step guide for managing and reporting work injuries, and the most commonly used forms and resources.
Next steps if the employee needs medical treatment
If the employee needs medical attention, send along:
- A Work ability/Return-to-work form
- An insurance ID card
- A letter telling the treating physician you offer light-duty work
You might also want to send along a temporary prescription information sheet so the employee can get medications needed to treat the injury with no out-of-pocket expense at participating pharmacies .
NOTE: In states outside of Minnesota, Wisconsin, Iowa, Nebraska and South Dakota, SFM works with Gallagher Bassett Services to handle claims. If you are outside of these states, use the Gallagher Bassett Services temporary prescription form instead.
Ensure the physician knows you offer light-duty, transitional work and ask the employee to return the Work Ability/Return-to-Work form to you after the doctor visit.
