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Important Information

Click the Download a Form button above to access blank forms.

First Reports of Injury (FROIs) PDFs may be uploaded here or you can submit electronically with our online form. Logging into our website allows you to save and finish your online form later.

Documents received after business hours are marked as received the next business day.

Upload SIF Forms

Instructions
  1. Enter the required contact information below. We will contact this person if there's an error reading the form after it's submitted.
  2. Click Choose File to locate the completed form on your computer.
  3. Navigate to your form in the popup window and click Open to select the file.
  4. For some file types, you have the option to leave comments. This field is not required.
  5. Click the Upload My Form button to submit your form.
Please note:
  • If you select Virtual Audit Documentation, you may be asked to provide the policy number and last four digits of the Tax ID.
  • We're able to accept PDF, TIF, PNG, JPEG, and BMP.
  • File should be less than 4 megabytes.
  • Older versions of Adobe or similar PDF readers may not save your typed text in the form. Please ensure you have reviewed your saved document before sending.
  • Documents received after business hours are marked as received the next business day.
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