How to File a First Report of Injury
Employers are required to file a First Report of Injury (FROI), within the state-mandated timeframe, for every work-related injury and illness. This guide shows members who do not use our FROI administration application how to report injuries online.
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View All Related ResourcesRequest for Healthcare Preauthorization Form
Providers treating injured employees submit this simple form to request preauthorization for healthcare services.
Bona Fide Offer of Employment Template
When the doctor clears your injured employee to return to work, use this template to issue a bona fide offer of employment that meets state requirements.
Employee Acknowledgement of Alliance Direct Contracting Program
Employees must sign this form acknowledging they understand how to receive health care in the Political Subdivision Workers’ Compensation Alliance. Available in English and Spanish.
Employee Incident Investigation Worksheet
Uncover and correct the root causes of workplace accidents to reduce the risk of them happening again.