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“The only thing necessary for these diseases to the triumph is for good people and governments to do nothing.”

 

 

United States and D.C.

U.S. Department of Labor

U.S. Department of Labor (DOL)—http://www.dol.gov/
200 Constitution Avenue NW
Washington, District of Columbia 20210
    (202) 693-6000

 


Alabama

State of Alabamahttp://www.al.gov/
Department of Industrial Relationshttp://dir.alabama.gov/
Workers' Compensation Division—http://dir.alabama.gov/wc/
Industrial Relations Building
649 Monroe Street
Montgomery, Alabama 36131
(800) 528-5166, (334) 242-2868; Fax: (334) 353-8262 (Administrative/TPAs/Assessments/Self-Insurance), (334) 353-8228 (Examiners/Ombudsman), (334) 353-0840 (Claims), (334) 353-8490 (Compliance/Drug Free/Medical/Education); Fraud: (800) 923-2533; Ombudsman: (800) 528-5166, (334) 242-2868 (in Montgomery area)

 


Alaska

State of Alaskahttp://www.state.ak.us/
Department of Labor and Workforce Developmenthttp://www.labor.state.ak.us/home.htm
Workers' Compensation Divisionhttp://www.labor.state.ak.us/wc/wc.htm
Post Office Box 25512
Juneau, Alaska 99802-5512
(907) 465-2790; Fax: (907) 465-2797

Workers' Compensation Boardhttp://www.gov.state.ak.us/boards/factsheet/fact110.html
Department of Labor
Post Office Box 25512
M/S 0700
Juneau, Alaska 99802-5512
(907) 465-2790, Fax: (907) 465-2797

 


Arizona

State of Arizona—http://www.state.az.us/
Industrial Commission of Arizonahttp://www.ica.state.az.us/
800 West Washington
Phoenix, Arizona 85007
    or
Post Office Box 19070
Phoenix, Arizona 85005-9070
(602) 542-4411, Fax: (602) 542-7889; Ombudsman: (602) 542-4538, Fax: (602) 542-4350
Click here to download free fillable PDF (Portable Document Format) versions of Arizona workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Commission Review Board

http://www.statefund.com/
3031 North Second Street
Phoenix, Arizona 85012
(602) 631-2000; Fax: (602) 631-2213

 


Arkansas

State of Arkansas—http://www.state.ar.us/
Workers' Compensation Commission—http://www.awcc.state.ar.us/
Street Address:
324 Spring Street
Little Rock, Arkansas 72203
Mailing Address:
Post Office Box 950
Little Rock, Arkansas 72203-0950
(800) 622-4472, (501) 682-3930; Fax: (501) 682-2777; Legal Advisor Direct: (800) 250-2511; TDD: (800) 285-1131
Arkansas Relay System TDD: (800) 285-1131

 


California

State of Californiahttp://www.ca.gov/s/
Department of Industrial Relations—http://www.dir.ca.gov/
Commission on Health and Safety and Workers' Compensation (CHSWC)—http://www.dir.ca.gov/CHSWC/chswc.html
455 Golden Gate Avenue, 10th Floor
San Francisco, California 94102
(415) 557-1304, Fax: (415) 703-4234, E-mail: chswc@hq.dir.ca.gov

Division of Workers' Compensation (DWC)—http://www.dir.ca.gov/DWC/dwc_home_page.htm
Street Address:
455 Golden Gate Avenue, 9th Floor
San Francisco, California 94102-3660
Mailing Address:
Post Office Box 420603
San Francisco, California 94142
E-mail: dwc@dir.ca.gov
(415) 703-4600 ; Fax: (415) 703-3971
Click here to download free fillable PDF (Portable Document Format) versions of California workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Medical Council (IMC)—http://www.dir.ca.gov/IMC/imchp.html
Post Office Box 8888
San Francisco, California 994128-8888
(800) 794-6900 (in California), (650) 737-2000

Workers' Compensation Appeals Board (WCAB)—http://www.dir.ca.gov/WCAB/wcab.htm
Street Address:
455 Golden Gate Avenue, Suite 9328
San Francisco, California 94102-3660
Mailing Address:
Post Office Box 429459
San Francisco, California 94142-9459
(415) 703-4580

Self-Insurance Plans (SIP)—http://www.dir.ca.gov/SIP/sip.html
2265 Watt Avenue, Suite 1
Sacramento, California 95825
(916) 483-3392; Fax: (916) 483-1535
E-mail: SIP@dir.ca.gov

State Compensation Insurance Fund (SCIF)—http://www.scif.com/
1275 Market Street
San Francisco, California 94103
(415) 565-1234, Claims Reporting Service (toll free): (888) 222-3211

 


Colorado

State of Coloradohttp://www.state.co.us/
Department of Labor & Employmenthttp://www.coworkforce.com/
Division of Workers' Compensationhttp://www.coworkforce.com/DWC/
1515 Arapahoe Street
Tower 2, Suite 500
Denver, Colorado 80202-2117
(888) 390-7936 (English), (800) 685-0891 (Spanish), (303) 318-8700, Fax: (303) 318-8710, E-mail: workers.comp@state.co.us
Click here to download free fillable PDF (Portable Document Format) versions of Colorado workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Claims Appeals Office
    Workers' Compensation: (303) 318-8131
    Unemployment Insurance: (303) 318-8133
1515 Arapahoe Street
Tower 2, Suite 350
Denver, Colorado 80202
(303) 318-8133

 


Connecticut

State of Connecticut—http://www.state.ct.us/index.asp
Workers' Compensation Commissionhttp://wcc.state.ct.us/
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(860) 493-1500, Fax: (860) 247-1361
Click here to download free fillable PDF (Portable Document Format) versions of Connecticut workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Compensation Review Board (CRB)—http://wcc.state.ct.us/index2.htm
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(203) 493-1500, Fax: (203) 247-1361

 


Delaware

State of Delaware—http://www.state.de.us/
Department of Labor—http://www.delawareworks.com/
4425 North Market Street
Wilmington, Delaware 19802
Division of Industrial Affairshttp://www.delawareworks.com/divisions/industaffairs/diaindex.html
4425 North Market Street
Wilmington, Delaware 19802
Office of Workers' Compensationhttp://www.delawareworks.com/divisions/industaffairs/workers.comp.htm
State Office Building, Sixth Floor
820 North French Street
Wilmington, Delaware 19801


District of Columbia

District of Columbiahttp://www.dc.gov/
Department of Employment Serviceshttp://www.does.dc.gov/does/site/default.asp
Government of the District of Columbia
64 New York Avenue, N.E.
Washington, District of Columbia 20002
(202) 724-7000, Fax: (202) 724-5683, TDD/TYY: (202) 673-6994
E-mail: does@dc.gov

Labor Standards Bureau
64 New York Avenue, N.E., Room 3129
Washington, District of Columbia 20002
(202) 671-1555, Fax: (202) 673-6412

Office of Workers' Compensationhttp://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537428
Mailing Address:
Post Office Box 56098
Washington, District of Columbia 20002
Street Address:
64 New York Avenue, N.E., Room 2909
Washington, District of Columbia 20002
(202) 671-1000, Fax: (202) 671-1929

Office of Hearings and Adjudicationhttp://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537904
64 New York Avenue, N.E., Room 2011
Washington, District of Columbia 20002
(202) 671-2233, Fax: (202) 673-6938

 


Florida

State of Floridahttp://www.myflorida.com/
Florida Department of Financial Serviceshttp://www.fldfs.com/
Division of Workers' Compensationhttp://www.fldfs.com/WC/
301 Forrest Building
2728 Centerview Drive
Tallahassee, Florida 32399-0680
(850) 921-6966; Fax: (850) 922-6779; Fraud: (800) 742-2214 (in Florida) (Department of Insurance, Bureau of Workers' Compensation Fraud: (850) 413-3116); Safety: (800) 367-4378 (in Florida), (850) 488-3044
E-mail: WorkCompCusServ@dfs.state.fl.us
Click here to download free fillable PDF (Portable Document Format) versions of Florida workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

http://www.doi.state.fl.us/wc/pdf/2kAR_OversightBoard.PDF
100 Marathon Building
2574 Seagate Drive
Tallahassee, Florida 32399-2152
(850) 487-2613, SunCom: 277-2613; Fax: (850) 487-3232

Florida Division of Administrative Hearingshttp://www.doah.state.fl.us/internet/
Office of Judges of Compensation Claims—http://www.jcc.state.fl.us/jcc/default.cfm
Petition for Benefits:
Post Office Box 8000
Tallahassee, Florida 32314-8000
Filing:
Post Office Box 6350
Tallahassee, Florida 32314-6350
Request for Assignment of Case Number:
Post Office Box 6410
Tallahassee, Florida 32314-6410
(850) 487-1911, SUNCOM 277-1911

 


Georgia

State of Georgia—http://www.state.ga.us/
Georgia State Board of Workers' Compensation—http://www.ganet.org/sbwc/
270 Peachtree Street, NW
Atlanta, Georgia 30303-1299
(800) 533-0682, (404) 656-3875, Fax: (404) 656-7768, Enforcement Division: (404) 657-1391, Safety Library: (404) 656-9057
Click here to download free fillable PDF (Portable Document Format) versions of Georgia workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Georgia Subsequent Injury Trust Fund—http://www.ganet.org/sitf/
Suite 500, North Tower
1720 Peachtree Street, NW
Atlanta, Georgia 30309-2420
(404) 206-6360, Fax: (404) 206-6363, TDD: (404) 206-5053

 

 


Hawaii

http://www.hawaii.gov/ (DLIR)—http://dlir.state.hi.us/

Disability Compensation Division
830 Punchbowl Street, Room 209
Honolulu, Hawaii 96813
(808) 586-9174, Fax: (808) 586-9219
E-mail: pstanley@pixi.com

Labor & Industrial Relations Appeals Board
888 Mililani Street, Room 400
Honolulu, Hawaii 96813
(808) 586-8600, Fax: 586-8613
E-mail: pstanley@pixi.com

 


Idaho

State of Idaho—http://www2.state.id.us/
Industrial Commission—http://www.state.id.us/iic/index.htm
317 Main Street
Post Office Box 83720
Boise, Idaho 83720-0041
(800) 950-2110, (208) 334-6000; Fax: (208) 334-2321; TDD: (800) 950-2110

State Insurance Fund—http://www.state.id.us/isif/index.htm
1215 West State Street
Post Office Box 83720
Boise, Idaho 83720-0044
(800) 334-2370, (208) 334-2370 (in the Boise area); Fax: (208) 334-2262 (Policyholder Services, Administration, Management Services, Legal), (208) 334-3253 (Claims), (208) 334-3254 (Underwriting); Fraud: (800) 448-ISIF (4743)

 


Illinois

State of Illinois—http://www.il.gov/
http://www.iwcc.il.gov/
100 West Randolph Street, Suite 8-200
Chicago, Illinois 60601
(866) 352-3033 (toll free statewide), (312) 814-6611, Fax: (312) 814-6523, TDD: (312) 814-2959
E-mail: iicoperations@mail.state.il.us
Click here to download free fillable PDF (Portable Document Format) versions of Illinois workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Office of Self-Insurance Administration
701 South Second Street
Springfield, Illinois 62704
(217) 785-7084, Fax: (217) 785-6557

 


Indiana

State of Indianahttp://www.in.gov/
Workers' Compensation Board of Indianahttp://www.in.gov/workcomp/
Government Center South
402 West Washington Street, Room W-196
Indianapolis, Indiana 46204
(317) 232-3808; Claims/Statistics: (317) 233-4930; Fax: (317) 233-5493; Insurance: (317) 233-3910; Ombudsman: (800) 824-COMP (2667), (317) 232-5922

 


Iowa

State of Iowa—http://www.state.ia.us/
Iowa Workforce Developmenthttp://www.iowaworkforce.org/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA, (515) 281-5387
Iowa Division of Workers' Compensationhttp://www.iowaworkforce.org/wc/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA (562-4692), (515) 281-5387; Fax: (515) 281-6501, TTD: (515) 281-4748
E-mail: IWD.DWC@iwd.state.ia.us

 


Kansas

State of Kansas—http://www.state.ks.us/
Department of Human Resources—http://www.hr.state.ks.us/
Kansas Workers' Compensation—http://www.hr.state.ks.us/wc/html/wc.htm
800 SW Jackson, Suite 600
Topeka, Kansas 66612-1227
(800) 332-0353, (785) 296-3441; Fax: (785) 296-0839; Fraud: (800) 332-0353, (785) 296-6392; Industrial Safety & Health: (800) 332-0353, (785) 296-4386; Ombudsman: (800) 332-0353, (785) 296-2996

 


Kentucky

Commonwealth of Kentuckyhttp://kentucky.gov/
Kentucky Department of Laborhttp://labor.ky.gov/
1047 U.S. 127S, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070
Office of Workers' Claims—http://labor.ky.gov/dwc/
657 Chamberlin Avenue
Frankfort, Kentucky 40601
(502) 564-5550 (Administrative Services, Open Records); Fax: (502) 564-8250 (Administrative Services), (502) 564-9533 (Ombudsman), (502) 564-5732 (Open Records), (502) 564-0916 (Security and Compliance); Ombudsman: (800) 554-8601 (Frankfort), (800) 554-8603 (Paducah), (800) 554-8602 (Pikeville); Security and Compliance: (502) 564-5550
E-mail: kywc.ombudsman@mail.state.ky.us

 


Click here to download free fillable PDF (Portable Document Format) versions of Kentucky workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Workers' Compensation Board

Division of Workers' Compensation Funds
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070, ext. 391

Workers' Compensation Funding Commission
#42 Millcreek Park
Post Office Box 1220
Frankfort, Kentucky 40602-1220
(502) 573-3505, Fax: (502) 573-4923

Kentucky Workers' Compensation Law (via CompEd, Inc.)—http://www.comped.net/

 


Louisiana

State of Louisianahttp://www.louisiana.gov/wps/portal/
Department of Laborhttp://www.laworks.net/
Mailing Address: 
Post Office Box 94094
Baton Rouge, Louisiana 70804-9094
Street Address: 
1001 North 23rd Street
Baton Rouge, Louisiana 70804-9094
(225) 342-3111, TDD: (800) 259-5154
Office of Workers' Compensation Administration—http://www.laworks.net/wrk_owca.asp
Mailing Address: 
Post Office Box 94040
Baton Rouge, Louisiana 70804-9040
Street Address: 
1001 North 23rd Street
Baton Rouge, Louisiana 70802-9094
(225) 342-7555, Fax: (225) 342-5665, Fraud: (800) 201-3362 or WCFraud@ldol.state.la.us, Safety: (800) 201-2497
E-mail: OWCA@ldol.state.la.us

 


Maine

State of Maine—http://www.maine.gov/
Workers' Compensation Board—http://www.maine.gov/wcb/
27 State House Station
Augusta, Maine 04333-0027
(207) 287-3751; Fax: (207) 287-7198
Click here to download free fillable PDF (Portable Document Format) versions of Maine workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

 


Maryland

State of Marylandhttp://www.state.md.us/
Maryland Workers' Compensation Commissionhttp://www.charm.net/~wcc/
10 East Baltimore Street
Baltimore, Maryland 21202
(800) 492-0479, (410) 864-5100; Fax: (410) 333-8122
Click here to download free fillable PDF (Portable Document Format) versions of Maryland workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Insured Workers' Insurance Fund—http://www.iwif.com/
8722 Loch Raven Boulevard
Towson, Maryland 21286-2235
(800) 492-0197, (410) 494-2200 Fax: (410) 494-2001

 


Massachusetts

Commonwealth of Massachusettshttp://www.mass.gov/
Department of Industrial Accidents—http://www.mass.gov/dia/
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(800) 323-3249, (617) 727-4900; Fax: (617) 727-6477; TTY: (800) 224-6196
Click here to download free fillable PDF (Portable Document Format) versions of Massachusetts workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Massachusetts Workers' Compensation Advisory Councilhttp://www.mass.gov/wcac/
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(617) 727-4900, ext. 378; Fax: (617) 727-7122

Workers’ Compensation Rating and Inspection Bureau of Massachusettshttps://www.wcribma.org/mass/
101 Arch Street
Boston, Massachusetts 02110
(617) 439-9030, Fax: (617) 439-6055

 

 


Michigan

http://www.migov.state.mi.us/MichiganGovernor.htm
Department of Labor & Economic Growth—http://www.michigan.gov/cis
Street Address:
611 W. Ottawa
Lansing, Michigan 48909
Mailing Address:
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820, Fax: (517) 373-2129
Workers' Compensation Agencyhttp://www.michigan.gov/wca
Street Address:
State Secondary Complex
General Office Building
7150 Harris Drive
First Floor, B-Wing
Lansing, Michigan 48913
Mailing Address:
Post Office Box 30016
Lansing, Michigan 48909
(888) 396-5041, (517) 322-1296, Fax: (517) 322-1808, TDD in Lansing: (517) 322-5987
Click here to download free fillable PDF (Portable Document Format) versions of Michigan workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Board of Magistrateshttp://www.michigan.gov/wca/0,1607,7-191-26919---,00.html
Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380, Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987

Workers' Compensation Appellate Commission—http://www.cis.state.mi.us/wkrcomp/wcac/home.htm
Victor Office Center, Third Floor
201 North Washington Square
Post Office Box 30468
Lansing, Michigan 48909-7968
(517) 335-5828, Fax: (517) 335-5829

Michigan Economic Development Corporation—http://medc.michigan.org/
300 North Washington Square
Lansing, Michigan 48913
(517) 373-9808
    Michigan Business Guide to Workers' Compensation—http://medc.michigan.org/services/workerscomp/
Compensation Cost Control Service
Victor Office Center, Fourth Floor
201 North Washington Square
Lansing, Michigan 48909-7968
(517) 373-9809, Fax: (517) 241-3689

 

 


Minnesota

http://www.state.mn.us/
Department of Labor and Industryhttp://www.doli.state.mn.us/
443 Lafayette Road North
St. Paul, Minnesota 55155-4307
(800) DIAL-DLI (342-5354), (651) 284-5005; TTY: (651) 297-4198

Workers' Compensation Division—http://www.doli.state.mn.us/workcomp.html
443 Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI (342-5354) in Greater Minnesota, (651) 284-5005 in the St. Paul area, (800) 365-4584 or (218) 733-7810 in the Duluth area; Fax: (651) 284-5727
E-mail: DLI.Workcomp@state.mn.us
Click here to download free fillable PDF (Portable Document Format) versions of Minnesota workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Workers' Compensation Court of Appealshttp://www.workerscomp.state.mn.us/
405 Minnesota Judicial Center
25 Dr. Martin Luther King Jr. Boulevard
St. Paul, Minnesota 55155
(651) 296-6526, Fax: (651) 297-2520, TTY/TDD: (800) 627-3529

 


Mississippi

State of Mississippihttp://www.state.ms.us/its/msportal.nsf?Open
Mississippi Workers' Compensation Commission—http://www.mwcc.state.ms.us/
Street Address:
1428 Lakeland Drive
Jackson, Mississippi 39216
Mailing Address:
Post Office Box 5300
Jackson, Mississippi 39296-5300
(601) 987-4200, Fraud: (601) 359-4250

 


Missouri

State of Missouri—http://www.state.mo.us/
Department of Labor and Industrial Relations—http://www.dolir.missouri.gov/index.htm
Street Address:
3315 West Truman Boulevard, Room 213
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 504
Jefferson City, Missouri 65102-0504
(573) 751-9691, Fax: (573) 751-4135

  • Division of Workers' Compensation—http://www.dolir.state.mo.us/wc/index.htm
    Street Address:
    3315 West Truman Boulevard, Room 131
    Jefferson City, Missouri 65102
    Mailing Address:
    Post Office Box 58
    Jefferson City, Missouri 65102-0058
    (573) 751-4231, Fax: (573) 751-2012, Employee Hotline: (800) 775-2667, Employer Hotline: (888) 837-6069, Fraud and Noncompliance: (800)-592-6003, (573)-526-6630, Workers' Safety Program: (573) 526-3504
    E-mail: Workerscomp@dolir.mo.gov
    Click here to download free fillable PDF (Portable Document Format) versions of Missouri workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/
     
  • Labor and Industrial Relations Commission—http://www.dolir.state.mo.us/lirc/index.htm
    3315 West Truman Boulevard
    Jefferson City, Missouri 65102
        or
    Post Office Box 599
    Jefferson City, Missouri 65102-0599
    (573) 751-2461, Fax: (573) 751-7806

 


Montana

State of Montana—http://www.state.mt.us/
Montana State Fund—http://www.montanastatefund.com/
STREET ADDRESS:
    5 South Last Chance Gulch
    Helena, Montana 59601
MAILING ADDRESS:
    Post Office Box 4759
    Helena, Montana 59604-4759
(406) 444-6500, Claim Reporting/Customer Service: (800) 332-6102, Fraud Reporting: (888) 682-7463

Workers' Compensation Court—http://wcc.dli.state.mt.us/
1625 11th Avenue
Helena, Montana
    or
Post Office Box 537
Helena, Montana 59624-0537
(406) 444-7794, Fax: (406) 444-7798
E-mail: pkessner@state.mt.us

Employment Relations Division—http://erd.dli.state.mt.us/
Department of Labor & Industry—http://dli.state.mt.us/
Post Office Box 8011
Helena, Montana 59624
(406) 444-6530, Fax: (406) 444-4140, Fraud: (800) 922-2873

Self Insurers' Guaranty Fund
Post Office Box 4133
Missoula, Montana 59806
(406) 549-8849

 


Nebraska

State of Nebraskahttp://www.state.ne.us/
Workers' Compensation Courthttp://www.nol.org/home/WC/
State House, 13th Floor
Post Office Box 98908
Lincoln, Nebraska 68509-8908
(800) 599-5155 (in Nebraska only), (402) 471-6468 (Lincoln and out of state), Fax: (402) 471-2700

 


Nevada

State of Nevadahttp://www.nv.gov/

Department of Business & Industry—http://dbi.state.nv.us/
In Northern Nevada: 
788 Fairview Avenue, Suite 100
Carson City, Nevada 89701-5491
(775) 687-4250, Fax: (775) 687-4266
E-Mail: biinfo@dbi.state.nv.us

In Southern Nevada: 
555 E. Washington Avenue, Suite 4900
Las Vegas, Nevada 89101
(702) 486-2750, Fax: (702) 486-2758
E-Mail: biinfo@dbi.state.nv.us

Division of Industrial Relations—http://dirweb.state.nv.us/
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7260, Fax: (775) 687-6305

http://dirweb.state.nv.us/iirs.htm
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7270, Fax: (775) 687-6305

1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89014
(702) 486-9080, Fax: (702) 990-0364

Nevada Attorney for Injured Workershttp://naiw.nv.gov/

555 E. Washington Avenue, Suite 4800
Las Vegas, Nevada 89101
(702) 486-2830, Fax: (702) 486-2844
E-mail: NAIW@govmail.state.nv.us

1000 East William Street, Suite 213
Carson City, Nevada 89710
(775) 687-4076, Fax: (775) 687-4134
E-mail: NAIW@govmail.state.nv.us

Employers Insurance Company of Nevada—http://www.employersinsco.com/
9790 Gateway Drive, Suite 100
Reno, Nevada 89521

2550 Paseo Verde Parkway
Henderson, Nevada 89074-7117
(888) 682-6671; Claim Reporting: (888) 900-1455, Fax: (888) 527-3422; Underwriting/Insurance Services: (888) 682-6671 
E-mail: info@eigwc.com

 


New Hampshire

State of New Hampshire—http://www.state.nh.us/
Department of Labor—http://www.state.nh.us/dol/index.html
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3177
Workers' Compensation Division—http://www.state.nh.us/dol/wc/index.html
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3174 (claims), (603) 271-2042 (coverage), (603) 271-6172 (self-insurance), (603) 271-3328 (vocational rehabilitation)
Click here to download free fillable PDF (Portable Document Format) versions of New Hampshire workers' compensation forms courtesy Interface


New Jersey

State of New Jersey—http://www.state.nj.us/
Department of Laborhttp://www.state.nj.us/labor/
John Fitch Plaza
Post Office Box 110
Trenton, New Jersey 08625
(609) 292-2323, Fax: (609) 633-9271
Division of Workers' Compensationhttp://www.nj.gov/labor/wc/wcindex.html
Post Office Box 381
Trenton, New Jersey 08625-0381
(609) 292-2515, Fax: (609) 984-2515
E-mail: dwc@dol.state.nj.us
Click here to download free fillable PDF (Portable Document Format) versions of New Jersey workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

N.J. Compensation Rating and Inspection Bureauhttp://www.njcrib.com/
60 Park Place
Newark, New Jersey 07102
(973) 622-6014, Fax: (973) 622-6110

 


New Mexico

State of New Mexicohttp://www.state.nm.us/
Workers' Compensation Administrationhttp://www.state.nm.us/wca/
Post Office Box 27198
Albuquerque, New Mexico 87125-7198
E-mail: WCAHotline@state.nm.us
(800) 255-7965, (505) 841-6000, Fax: (505) 841-6009, Help Line/Hot Line: (866) WORKOMP (967-5667)

 


New York

State of New Yorkhttp://www.state.ny.us/
New York State Workers' Compensation Board—http://www.wcb.state.ny.us/
100 Broadway-Menands
Albany, New York 12241
(518) 474-6670, Fax: (518) 473-1415
Click here to download free fillable PDF (Portable Document Format) versions of New York workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

New York State Insurance Fund—http://www.nysif.com/
199 Church Street
New York, New York 10007
(212) 312-9000, Fax: (212) 385-2073

 


North Carolina

State of North Carolina—http://www.sips.state.nc.us/
Department of Commercehttp://www.nccommerce.com/
Mailing Address:
4301 Mail Service Center
Raleigh, North Carolina 27699-4301
Street Address:
301 North Wilmington Street
Raleigh, NC 27020-0571
(919) 733-4151
E-mail: info@mail.commerce.state.nc.us

North Carolina Industrial Commission—http://www.comp.state.nc.us/
Mailing Address:
4319 Mail Service Center
Raleigh, North Carolina 27699-4319
Street Address:
Dobbs Building (sixth floor)
430 North Salisbury Street
Raleigh, North Carolina 27603-5937
(919) 807-2500, Fax: (919) 715-0282
    Fraud Investigations Section: (888) 891-4895 (in North Carolina)—http://www.comp.state.nc.us/ncic/pages/fraud.htm
    Ombudsman Section: (800) 688-8349http://www.comp.state.nc.us/ncic/pages/ombudsmn.htm
    Safety Education Section: (919) 807-2603http://www.comp.state.nc.us/ncic/pages/safety.htm
Click here to download free fillable PDF (Portable Document Format) versions of North Carolina workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

 


North Dakota

State of North Dakota—http://discovernd.com/
Workforce Safety & Insurancehttp://www.WorkforceSafety.com/
1600 East Century Avenue, Suite One
Bismarck, North Dakota 58506-5585
(800) 777-5033, (701) 328-3800; Fax: (701) 328-3820; Fraud: (800) 243-3331; Safety and Loss Prevention: (701) 328-3886; TDD: (701) 328-3786
E-mail: WorkforceSafety@wcb.state.nd.us
Workforce Safety & Insurance Board of Directors
Post Office Box 2174
Bismarck, North Dakota 58502-2174

 


Ohio

http://www.state.oh.us/
Ohio Bureau of Workers' Compensationhttp://www.ohiobwc.com/
30 West Spring Street
Columbus, Ohio 43215-2256
E-mail: Feedback@bwc.state.oh.us
(800) OHIOBWC, (614) 644-6292, Fax: (614) 752-9021
Click here to download free fillable PDF (Portable Document Format) versions of Ohio workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Industrial Commission of Ohio—http://www.ohioic.com/index.jsp
30 West Spring Street
Columbus, Ohio 43215-2256
(800) 521-2691, (614) 466-6136, Fax: (614) 752-8304

 


Oklahoma

State of Oklahomahttp://www.state.ok.us/
Department of Laborhttp://www.okdol.state.ok.us/
4001 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105-5212
(888) 269-5353, (405) 528-1500 Fax: (405) 528-5751
Workers' Enforcement Compensation Division—http://www.okdol.state.ok.us/workcomp/index.htm

Oklahoma Workers' Compensation Courthttp://www.owcc.state.ok.us/
Denver N. Davison Court Building
1915 North Stiles
Oklahoma City, Oklahoma 73105
(800) 522-8210 (statewide), (405) 522-8600, Fax: (405) 522-8687 (administration), (405) 522-8683 (2nd floor offices), (405) 522-8651 (records department)

CompSource Oklahomahttp://www.compsourceok.com/
(formerly the Oklahoma State Insurance Fund)
Mailing Address:
Post Office Box 53505
Oklahoma City, Oklahoma 73152-3505
Street Addresses:
(Administration, Claims, Financial Services, Special Investigations)
1901 North Walnut Avenue
Oklahoma City, Oklahoma 73105
(Policyholder Services, Information Systems)
410 North Walnut Avenue

Oklahoma City, Oklahoma 73104
(800) 872-7015 (Report an Injury), (405) 232-7663, Fax: (405) 552-5800, Fraud: (800) 899-1847

 


Oregon

State of Oregon—http://www.state.or.us/
Department of Consumer & Business Serviceshttp://www.cbs.state.or.us/
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4100, Fax: (503) 378-6444

Workers' Compensation Divisionhttp://wcd.oregon.gov/
350 Winter Street NE, Room 27
Salem, Oregon 97301-3879
(800) 452-0288 (Workers' Compensation Infoline); (503) 947-7810, Fax: (503) 947-7514; TTY: (503) 947-7993; Fraud Hotline: (800) 422-8778 (in Oregon); Small Business Ombudsman: (503) 378-4209, Fax: (503) 373-7639; Ombudsman for Injured Workers: (800) 927-1271, (503) 378-3351, Fax: (503) 373-7639

Workers' Compensation Boardhttp://www.cbs.state.or.us/wcb/
2601 25th Street SE, Suite 150
Salem, Oregon 97302-1282
(503) 378-3308

Workers' Compensation Management-Labor Advisory Committeehttp://www.cbs.state.or.us/mlac/
Department of Consumer & Business Services
350 Winter Street, Room 200
Salem, Oregon 97301-3878
(503) 947-7867; Fax: (503) 378-6444

Ombudsman for Injured Workershttp://www.cbs.state.or.us/external/wco/index.html
350 Winter Street NE, Room 160
Salem, Oregon 97310
(800) 927-1271, (503) 378-3351

Ombudsman for Small Businesshttp://www.cbs.state.or.us/external/sbo/index.html
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4209, V/TTY: (503) 378-4100

SAIF Corporationhttp://www.saif.com/
400 High Street SE
Salem, Oregon 97312-1000
(800) 285-8525, (503) 373-8000

 


Pennsylvania

State of Pennsylvaniahttp://www.state.pa.us/
Department of Labor and Industryhttp://www.dli.state.pa.us/
Labor & Industry Building
Room 1700
7th and Forster Streets
Harrisburg, Pennsylvania 17120
(717) 787-5279
Bureau of Workers' Compensation—http://www.dli.state.pa.us/landi/cwp/view.asp?a=138&Q=58929&landiPNav=|#1026
1171 South Cameron Street, Room 324
Harrisburg, Pennsylvania 17104-2501
(800) 482-2383 (inside Pennsylvania), (717) 772-4447 (local/out of state), TTY: (800) 362-4228 (for hearing and speech impaired only)
E-mail:  ra-li-bwc-helpline@state.pa.us
Click here to download free fillable PDF (Portable Document Format) versions of Pennsylvania workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

State Workers' Insurance Fundhttp://www.dli.state.pa.us/landi/cwp/view.asp?a=151&Q=58236&landiNavDLTEST=|852|1065|2548|
100 Lackawanna Avenue
Scranton, Pennsylvania 18503
(570) 963-4635

Workers' Compensation Appeal Board
1171 South Cameron Street, Room 305
Harrisburg, Pennsylvania 17104-2511
(717) 783-7838

 


Rhode Island

State of Rhode Island—http://www.state.ri.us/
Workers' Compensation Court—http://www.courts.state.ri.us/workers/defaultnew-workers.htm
One Dorrance Plaza
Providence, Rhode Island 02903
(401) 458-5000, Fax: (401) 222-3121

Department of Labor and Training—http://www.dlt.ri.gov/
1511 Pontiac Avenue
Cranston, Rhode Island 02920-4407
(401) 462-8000
Workers' Compensation Divisionhttp://www.dlt.ri.gov/wc/
Street Address:
1511 Pontiac Avenue, Building 69, Second Floor
Cranston, Rhode Island 02920-0942
Mailing Address:
Post Office Box 20190
Cranston, Rhode Island 02920-0190
(401) 462-8100, Fax: (401) 462-8105, TDD: (401) 462-8006
Click here to download free fillable PDF (Portable Document Format) versions of Rhode Island workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

 


South Carolina

State of South Carolina—http://www.myscgov.com/
Workers' Compensation Commissionhttp://www.wcc.state.sc.us/
Street Address:
1612 Marion Street
Columbia, South Carolina 29201
Mailing Address:
Post Office Box 1715
Columbia, South Carolina 29202-1715
(803) 737-5700, Fax: (803) 737-5768
Click here to download free fillable PDF (Portable Document Format) versions of South Carolina workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

South Carolina State Accident Fund—http://www.myscgov.com/scoa/
Street Address:
800 Dutch Square Boulevard
Columbia, South Carolina 29221
Mailing Address:
Post Office Box 102100
Columbia, South Carolina 29221-5000
(800) 521-6576, (803) 896-5800

South Carolina Second Injury Fund
22 Koger Center
Winthrop Building, Suite 119220
Executive Center Drive
Columbia, South Carolina 29210
(803) 798-2722, Fax: (803) 798-5290

South Carolina Workers' Compensation Uninsured Employers' Fund
22 Koger Center
Winthrop Building, Suite 119220
Executive Center Drive
Columbia, South Carolina 29210
(803) 798-2722, Fax: (803) 798-5290

 


South Dakota

State of South Dakotahttp://www.state.sd.us/
Department of Laborhttp://www.state.sd.us/dol/dol.asp
Division of Labor and Managementhttp://www.state.sd.us/dol/dlm/dlm-home.htm
Kneip Building, Third Floor
700 Governors Drive
Pierre, South Dakota 57501-2291
E-mail: labor@dol-pr.state.sd.us
(605) 773-3681, Fax: (605) 773-4211

 


Tennessee

State of Tennesseehttp://www.state.tn.us/
Department of Labor and Workforce Developmenthttp://www.state.tn.us/labor-wfd/
Workers' Compensation Divisionhttp://www.state.tn.us/labor-wfd/wcomp.html
710 James Robertson Parkway
Gateway Plaza, Second Floor
Nashville, Tennessee 37243-0665
(800) 332-2667 (within Tennessee), (615) 532-4812, Fax: (615) 532-1468
Click here to download free fillable PDF (Portable Document Format) versions of Tennessee workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

 


Texas

State of Texas—http://www.state.tx.us/
Texas Workers' Compensation Commission (TWCC)—http://www.twcc.state.tx.us/
7551 Metro Center Drive, Suite 100
Austin, Texas 78744-1609
(512) 804-4000, Commissioners: (512) 804-4435 fax: (512) 804-4431, Customer Relations/Services: (512) 804-4100 or 804-4636, Fax: (512) 804-4001, Fraud Hotline: (512) 804-4703, Injured Worker Hotline/Ombudsman: (800) 252-7031, Safety Violations Hotline: (800) 452-9595
Click here to download free fillable PDF (Portable Document Format) versions of Texas workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

 


Utah

http://www.state.ut.us/
Industrial Commission of Utah—http://www.ind-com.state.ut.us/
Industrial Accidents Division—http://www.ind-com.state.ut.us/indacc.htm
Post Office Box 146610
Salt Lake City, Utah 84114-6610
(801) 530-6800, Fax: (801) 530-6804

Workers' Compensation Fund of Utahhttp://www.wcf-utah.com/
Salt Lake City Office
392 East 6400 South
Murray, Utah 84107
(800) 446-2667

 


Vermont

State of Vermonthttp://www.state.vt.us/
Department of Labor & Industry—http://www.state.vt.us/labind/
National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2288, Fax: (802) 828-2195

Workers' Compensation Division—http://www.state.vt.us/labind/wcindex.htm
National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2286, Fax: (802) 828-2195
Click here to download free fillable PDF (Portable Document Format) versions of Vermont workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

 


Virginia

Commonwealth of Virginiahttp://www.virginia.gov/cmsportal/
Virginia Workers' Compensation Commission—http://www.vwc.state.va.us
1000 DMV Drive
Richmond, Virginia 23220
(877) 664-2566, Fax: (804) 367-9740, TDD: (804) 367-8600
E-mail: Questions@vwc.state.va.us
Click here to download free fillable PDF (Portable Document Format) versions of Virginia workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

 


Washington

State of Washingtonhttp://access.wa.gov/
Department of Labor and Industrieshttp://www.lni.wa.gov/
Labor and Industries Building
Post Office Box 44001
Olympia, Washington 98504-4001
(800) 547-8367, (360) 902-4200, Fax: (360) 902-4202

Board of Industrial Insurance Appealshttp://www.biia.wa.gov/
Street Address:
2430 Chandler Court, SW
Olympia, Washington 98504-2401
Mailing Address:
Post Office Box 42401
Olympia, Washington 98504-2401
(800) 442-0447, (360) 753-9646, Fax: (360) 586-5611
Click here to download free fillable PDF (Portable Document Format) versions of Washington workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Workers' Compensation Information—http://www.lni.wa.gov/ClaimsInsurance/ClaimsAppeals/GetClaimInfo/default.asp

 


West Virginia

West Virginiahttp://www.wv.gov/
Workers' Compensation Commissionhttp://www.wvwcc.org/
Mailing Address:
Post Office Box 3824
Charleston, West Virginia 25338-3824
Street Address:
4700 MacCorkle Avenue, SE
Charleston, West Virginia 25304
(800) 628-4265, (304) 926-5060, Fax: (304) 926-5372, Fraud: (800) 779-6853 or lprater@wvbep.org

Workers’ Compensation Commission Board of Managers

Workers' Compensation Office of Judgeshttp://www.wvwcc.org/ooj/
Mailing Address:
Post Office Box 2233
Charleston West Virginia 25328-2233
Street Address:
One Players Club Drive
Charleston West Virginia 25311
(304) 558-1686, Fax: (304) 558-1021

Workers' Compensation Board of Reviewhttp://www.state.wv.us/bep/AppBd/
Mailing Address:
Post Office Box 2628
Charleston, West Virginia 25329-2628
Street Address:
104 Dee Drive
Charleston, West Virginia 25301
(304) 558-5230, Fax: (304) 558-1322

 


Wisconsin

State of Wisconsin—http://www.wisconsin.gov/state/home
Department of Workforce Development—http://www.dwd.state.wi.us/
Workers' Compensation Division—http://www.dwd.state.wi.us/wc/default.htm
Mailing Address:
Post Office Box 7901
Madison, Wisconsin 53707-7901
Street Address:
Room C100
201 East Washington Avenue
Madison, Wisconsin 53703
(608) 266-1340; Fax: (608) 267-0394; Fraud (608) 261-8486
Click here to download free fillable PDF (Portable Document Format) versions of Wisconsin workers' compensation forms courtesy Interface Technologieshttp://www.interfacetec.com/

Workers' Compensation Advisory Council—http://www.dwd.state.wi.us/notespub/wcadvcou/
(608) 266-6841

Wisconsin Compensation Rating Bureauhttp://www.wcrb.org/
Mailing Address:
Post Office Box 3080
Milwaukee, WI 53201-3080
Street Address:
20700 Swenson Drive, Suite 100
Waukesha, Wisconsin 53186
(262) 796-4540, Fax: (262) 796-4400

Wisconsin Labor and Industry Review Commissionhttp://www.dwd.state.wi.us/lirc/
Mailing Address:
Post Office Box 8126
Madison, Wisconsin 53708-8126
Street Address:
Wisconsin Public Broadcasting Building
3319 West Beltline Highway
Madison, Wisconsin
(608) 266-9850 Fax: (608) 267-4409
E-mail: dwdlirc@dwd.state.wi.us

 


Wyoming

State of Wyominghttp://www.state.wy.us/
Department of Employmenthttp://wydoe.state.wy.us/

Cheyenne Business Center
1510 East Pershing Boulevard
Cheyenne, Wyoming 82002
(307) 777-7672
, Fax: (307) 777-5805
    Cindy Pomeroy, Director, (307) 777-5960, CPOMER@state.wy.us
    Charles Rando, Administrator, (307) 777-6370, CRANDO@state.wy.us

Workers' Safety and Compensation Divisionhttp://wydoe.state.wy.us/doe.asp?ID=9
Cheyenne Business Center
1510 East Pershing Boulevard
Cheyenne, Wyoming 82002
(307) 777-7159, Fax: (307) 777-5524.
    To Report an Injury: (800) 870-8883 or (307) 777-7441, Fax: (307) 777-6552.
    To Report Fraud: (888) 996-9226 or (307) 777-6552, Fax: (307) 777-3581
    Gary Child, Administrator, (307) 777-7159, Fax: (307) 777-5524, GCHILD@state.wy.us

Employment Tax Divisionhttp://wydoe.state.wy.us/doe.asp?ID=10
Post Office Box 2760
Casper, Wyoming 82602-2760
(307) 235-3201 (Casper) or (307) 777-7471 (Cheyenne)

 


Other U.S. Areas

American Samoa

American Samoahttp://members.aol.com/pologa/welcome.html
Workmen's Compensation Commission
Office of the Governor
Pago Pago, American Samoa 96799

 


Guam

Guam-http://www.gov.gu/
Department of Labor
Workers' Compensation Commission
Government of Guam
Post Office Box 9970
Tamuning, Guam 96931-9970
(671) 647-4205, Fax: (671) 649-4922

 


Navajo Nation

Navajo Nationhttp://www.navajo.org/
Workers' Compensation Program
Post Office Box 2489
Window Rock, Arizona 86515
(928) 871-6389, Fax: (928) 871-6087

 


Northern Mariana Islands

Northern Mariana Islands

 


Puerto Rico

Puerto Rico—http://fortaleza.govpr.org/ingles/govwel.htm
Industrial Commissioner's Office
G.P.O. Box 364466
San Juan, Puerto Rico 00936
(787) 783-3808, Fax: (787) 783-5610

State Insurance Fund
G.P.O. Box 5028
San Jaun, Puerto Rico 00936

 


Virgin Islands

Virgin Islands—http://www.usvi.org/
Department of Laborhttp://www.vidol.gov/
St. Croix (Main Office)
302 King Street
St. Croix, Virgin Islands 00840-4612
(340) 773-1994, Fax: (340) 772-3365
St. Thomas (Main Office)
Post Office Box 302608
St. Thomas, Virgin Islands 00803-2608
(340) 776-3700, Fax: (340) 774-5908
Workers' Compensation Administration
http://www.vidol.gov/Units/Workers_Compensation/Workers_Comp.htm
3012 Vitraco Mall, Golden Rock
Christiansted
St. Croix, Virgin Islands 00820-4666
(809) 692-9390, Fax: (809) 773-4338