Download Document - Idaho State Insurance Fund

Important Information

* Document submission:
SIF regular business hours are 8 a.m. to 5 p.m. MT, weekdays except state holidays. Documents received after business hours are marked as received the next business day.

* New option:
Use our ONLINE FROI to file a first report of injury. No need to download, save, and submit a PDF file. Registered users, log in to auto-fill policy and preparer information. It's fast, efficient, and allows uploading of supporting documentation.

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Download a State Insurance Fund Form

Our forms are available in Adobe PDF format. Download Adobe Reader free here if you do not have it. Get Acrobat Reader

Note: Adobe 11 or higher is recommended as it allows you to save typed text in the form to a file on your hard drive. Older versions of Adobe or similar PDF readers may not save your typed text and the document will be blank after saving. Open and review your saved document BEFORE submitting.

Download Documents

Claims
Report an injury or manage a claim.

Employer's Supplemental Report

Submit at the end of injured worker's disability or after 60 days if still unable to work. Learn more.

First Report of Injury

File a claim for a workplace injury or illness. Learn more.

Medical Release Form

The Medical Release Authorization Form allows SIF to access medical bills and reports to process your claim in a timely manner. Learn more.

Restricted Duty Supplemental Report

Submit every 14 days while injured worker is on restricted duty. Learn more.

Travel Expense Reimbursement

Request reimbursement for travel expenses regarding your claim. Learn more.

Insurance Agents
Gain access to your agency’s book of business online.

Agency Web Authorization Form

Appointed with SIF? Request web access to view your book of business and more. Learn more.

Medical Providers
Provider access authorization and treatment requests.

Physical Medicine Request Form

***There is no longer a need to submit a form for requests. Contact the Claims Examiner for authorization.*** Learn more.

Provider Web Authorization Form

Surgery and/or Diagnostics Testing Request Form

Providers request pre-approval for surgery or diagnostic testing. Learn more.

Policyholder Services
Apply for a policy and request online payroll reporting access.

Online Payroll Reporting Authorization Form

Policy Application

Apply for a policy with the State insurance Fund. Learn more.

Third-party Web Authorization Form

Accountant or bookkeeping firm? Get authorization to access your client's policy online. Learn more.

Trucking Supplemental Application

Submit with your policy application if you are a trucking business. Learn more.

Worker Relationship Questionnaire

Provide us more information if you have no employees but desire coverage. Learn more.