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: 

 

Report Claim information IMMEDIATELY to 772-466-0440

After hours or weekend: email claims@atlanticpayroll.us

The following information is needed regarding the injured employee:

  1. NAME, ADDRESS, PHONE NUMBER OF INJURED WORKER
  2. CLIENT NAME AND CLIENT ID NUMBER
  3. SOCIAL SECURITY NUMBER
  4. DATE OF ACCIDENT
  5. DESCRIPTION OF INJURY OR ACCIDENT
  6. INJURED BODY PART ( RIGHT OR LEFT WHERE APPLICABLE)
  7. MEDICAL TREATMENT GIVEN
  8. 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.

 

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