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Claims
Report an injury or manage a claim.

Employers 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.

Light Duty Work Supplemental

Submit every 14 days while injured worker is on light duty. 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.

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

Provider authorization request for PT or chiropractic treatments. Learn more.

Provider Web Authorization Form

Register to view bills and EOBs on our website. Learn more.

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

Sign up to report your payroll online. Learn more.

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.