FILE YOUR WORKERS’ COMPENSATION CLAIM RIGHT AWAY
Our helpful Claims Guide is below with all the forms you need to get started.
Workers’ Compensation Claims Filing Instructions
FOR SERIOUS INJURIES CALL 911
IF EMPLOYEE REQUIRES MEDICAL TREATMENT:
- Take employee to a walk-in clinic or urgent care center (use ER only in emergencies).
- Ensure injured employee has Post-Accident Drug Screen (5 panel) (clinics and urgent care facilities can perform testing during visit).
- Employee & Witness(es) fill out injury report.
- Complete Workers’ Comp Claim Form.
DO NOT DELAY FILING CLAIM WAITING FOR PAPERWORK
IF EMPLOYEE DOESN’T REQUIRE MEDICAL TREATMENT DO THE FOLLOWING:
- Send injured employee for Post Accident Drug Screen( 5 Panel)
- Employee needs to sign Refusal of Medical Treatment Form.
Report Claim information IMMEDIATELY to 772-466-0440
After hours or weekend: email [email protected]
The following information is needed regarding the injured employee:
- NAME, ADDRESS, PHONE NUMBER OF INJURED WORKER
- CLIENT NAME AND CLIENT ID NUMBER
- SOCIAL SECURITY NUMBER
- DATE OF ACCIDENT
- DESCRIPTION OF INJURY OR ACCIDENT
- INJURED BODY PART ( RIGHT OR LEFT WHERE APPLICABLE)
- MEDICAL TREATMENT GIVEN
- CURRENT WORK STATUS
INVESTIGATE CAUSE OF ACCIDENT TO PREVENT OCCURRENCE
YOU NEED TO CONTACT THE ATLANTIC PAYROLL PARTNERS CLAIMS DEPARTMENT AS SOON AS POSSIBLE. MANY STATES IMPOSE A FINE FOR LATE REPORTING. PLEASE HELP US AVOID THIS BY FILING YOUR#WORKERS’ COMPENSATION CLAIM## IN A TIMELY MANNER.