NEED A WORKERS COMP FIRST REPORT
OF INJURY?
Click on one of the links
below to download forms.
For other states contact
Donna Bartlett.

If you have a claim and are having difficulty contacting your carrier, please contact us.

CLAIMS CENTER
24 N. 6th St.
Terre Haute, IN
ph. 812.232.0441
fax 812.232.0926

If you prefer, report your claim to our office by choosing from one of the menus below.

Claims

Please select one of the the following forms and submit your claim to our Claims Professionals.

Personal Claims
- Auto
- Homeowners

Business Claims