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Claims

    CLAIMS QUESTIONS FROM EMPLOYERS

  1. How do I report an injury?
  2. How do I fill out an Employer’s Report of Injury?
  3. How do I find doctors in my area for my injured employees?
  4. How can I order more claim forms or claims kits?

    CLAIMS QUESTIONS FROM EMPLOYERS

  1. How do I report an injury?

    Policyholders can report an injury immediately through our Claims Reporting Center, which is available 24 hours a day, 7 days a week. To report an injury using this service, simply call us toll-free at 888-STATEFUND (888-782-8338) and a representative will assist you in completing the Employer’s Report of Occupational Injury or Illness (form 3067) and mail you a copy.  You may also fax your injury report to our toll-free fax line at (800) 371-5905 and a representative may contact you for additional information. Another option is for State Fund Online (SFO) registered users to file a claim online.

    Claims Reporting Center
    Workers’ Compensation Claim Form
    Employer’s Report of Injury form

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  3. How do I fill out an Employer’s Report of Injury?

    Tutorial on how to fill out an Employer’s Report of Injury (e3067)

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  5. How do I find doctors in my area for my injured employees?

    State Fund’s Provider Finder by Harbor Health look-up tool provides easy access to our Medical Provider Network. You can customize your search with several specifications, including provider distance from your home or workplace, provider name, urgent-care facilities, and regional listings. Policyholders may also call (855) 521-7082 and a Medical Access Assistant will be happy to connect you with doctors and specialists who will provide prompt and professional treatment.

    Provider Finder by Harbor Health

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  7. How can I order more claim forms or claims kits?

    Claim forms are available online via the Forms tab on the homepage or on State Fund Online. Policyholders can request claim forms and claims kits to be mailed to their business address by calling our Claims Reporting Center’s toll free number 888-STATEFUND (888-782-8338).

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Note: State Compensation Insurance Fund is not a branch of the State of California.

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