Accident Report

How to Report an Accident

Online: Through the secure online form below

On the phone: 8:00 am - 5:30 pm, Monday - Friday at 1-800-393-0815

or 727-799-1229, option 5

After hours, weekends or holidays: 1-888-443-3699

Fax Accident Report Form to: 727-725-7656

Email Accident Report Form to:

Accident Reporting

Timely claims reporting is one of the most important aspects of controlling workers’ compensation costs. It helps get injured employees the medical care they require to return to work. Your employees will receive timely benefits and you will avoid any fines and/or penalties imposed because of late reporting.

Employer's Accident Report