Reporting an Injury

There are several ways an employer can report an injury to IWIF. Regardless of the method of submission, IWIF will mail a hard copy of the First Report of Injury (FROI) to the employer, the agent, the Workers' Compensation Commission and the Department of Labor.

On-line Reporting
Click on Policyholder E-Services to create a profile and register for a PIN (personal identification number). If you already have a PIN, click here to enter your FROI on-line. Once the information is submitted, you will receive immediate confirmation, a claim number and information for the ExpressScripts pharmacy program.

When an employee requires medical treatment and needs prescriptions filled for a work-related injury, provide the employee with a copy of the Temporary Prescription Services ID Form (PDF) to take to the pharmacy. When this completed form is presented to the participating pharmacy, the prescriptions are filled with no out-of-pocket expenses for the employee. Spanish Form - (PDF)

24-hr Injury Reporting Hotline
Call IWIF toll-free at 1-888-410-1400. A customer service representative will take the information over the telephone and give you a claim number and ExpressScripts number.

FAX Transmittal
Dial our fax number, (410) 494 2002, to submit your First Report of Injury. You will receive confirmation via fax.

To locate a physician in IWIF's Preferred Provider Network or for additional reporting forms, click on the following: Preferred Provider Network Directory