Report Workers Compensation Claims
To report a Workers Compensation claim online, click on the box below.
Note: Enter the Injured worker’s legal name on the injury reports as it appears on their social security card as well as their social security number. This information is required as per Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007.
Report a New Claim
Filing a Workers Compensation Claim
To report a workers compensation claim other than via our online portal, please send new loss notices via email to firstname.lastname@example.org or mail to:
Rockwood Casualty Insurance Company
Attn: Claims Dept.
654 Main St.
Rockwood, PA 15557
Statement of Wage Forms