Alabama Department Of Industrial Relations

649 Monroe St., Montgomery, Alabama 36131

FAX : 334 / 242-8843

Last modified: January 12, 2001

URL: http://dir.state.al.us

Alaska Department of Labor and Workforce Development

Research and Analysis Section

P.O. Box 25501

Juneau, AK 99802-5501

Phone (907)465-4500

Fax (907)465-2101

Phoenix Office

800 W. Washington Street

Phoenix AZ 85007

or

State of Arkansas

Workers' Compensation Commission

4th and Spring Streets

P.O. Box 950

Little Rock, Arkansas 72203-0950

Telephone 1-501-682-3930 / 1-800-622-4472

Legal Advisor Direct 1-800-250-2511

Arkansas Relay System TDD 1-800-285-1131

Headquarters

455 Golden Gate Ave., 9th Floor

San Francisco, CA 94102-3660

415-703-4600

(Mailing Address: P.O. Box 420603, San Francisco, CA 94142)

Administrative Director, Richard P. Gannon

Acting Chief Deputy Administrative Director, George Mason

Assistant Chief, Richard W. Younkin

Administration Unit - Sven Norrlander, Manager

Audit Unit - Mark Johnson, Manager

Communications Unit - Richard Stephens, Manager

Policy, Program Evaluation & Training Unit:

Blair Megowan - Disability Evaluation Program Manager

Otis Byrd - Rehabilitation Program Manager

Information and Assistance Unit- Bob C. Wong, Manager

Legal Unit- Jacqueline Schauer, Manager

Medical Unit - Linda Rudolph, Medical Director

Research Unit - Jim Bellows, Manager

UEF/SIF Claims Unit - John Hopper, Manager

Claims Adjudication Unit/WCAB

Richard W. Younkin, Assistant Chief

Southern Region - William Whiteley, Regional Manager

28 Civic Center Plaza, #554, Santa Ana 92701-4070, (714) 558-4968

Central Region - Mark Kahn, Regional Manager

6150 Van Nuys Blvd., #200, Van Nuys 91401-3373, (818) 901-5324

Northern Region - Robert Kutz, Regional Manager

175 Lennon Lane, Room 200, Walnut Creek 94598-2469, (925) 977-7971

Anaheim 92801-1162

1661 N. Raymond Ave. (714) 738-4000

First & Second Floors

Ellen L. Flynn, Presiding Judge

Audit Unit, Suite 201 (714) 738-4048

Disability Evaluation Unit (714) 738-4040

Information & Assistance Unit, Suite 202 (714) 738-4038

Rehabilitation Unit (Santa Ana) (714) 558-4581

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims, Suite 101 (714) 738-4003

Bakersfield 93301-1929

1800 - 30th Street, Suite 100 (661) 395-2723

Evelyn Dapremont, Acting Presiding Judge

Disability Evaluation Unit (Ventura) (805) 654-4708

Information & Assistance Unit, 1st Floor (661) 395-2514

Rehabilitation Unit (Fresno) (559) 445-5066

SIF/UEF Claims (Sacramento, Suite 355) (916) 263-2774

Eureka 95501-0481

100 "H" Street, Suite 202 (707) 445-6518

Andrew Nash, Presiding Judge

Disability Evaluation Unit, (707) 441-5722

Information & Assistance Unit, Suite 201 (707) 441-5723

Rehabilitation Unit (Santa Rosa) (707) 576-2427

SIF/UEF Claims (Sacramento, Suite 355) (916) 263-2774

Fresno 93721-2280

2550 Mariposa Street, Suite 4078 (559) 445-5051

Stephen Webster, Presiding Judge

Disability Evaluation Unit, Suite 3014 (559) 445-6427

Information & Assistance Unit, Suite 4092 (559) 445-5355

Rehabilitation Unit, Suite 4092 (559) 445-5066

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (San Francisco, 8th Floor) (415) 703-4955

Goleta 93117-3018

6755 Hollister Ave. Suite 100 (805) 968-0258

Robert Ebenstein, Presiding Judge

Disability Evaluation Unit (Ventura) (805) 654-4708

Information & Assistance Unit (805) 966-9872

Rehabilitation Unit (805) 968-7678

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Los Angeles, 6th Floor) (213) 576-7300

Grover Beach 93433-2261

1562 Grand Avenue (805) 481-4912

Michael LeCover, Acting Presiding Judge

Disability Evaluation Unit (Ventura) (805) 654-4708

Information & Assistance Unit (805) 481-3380

Rehabilitation Unit (Santa Barbara) (805) 568-0266

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Los Angeles, 6th Floor) (213) 576-7300

Long Beach 90802-4339

300 Oceangate Street, Suite 200 (562) 590-5001

Joseph Rebeck, Presiding Judge

Disability Evaluation Unit (562) 590-5017

Information & Assistance Unit (562) 590-5240

Rehabilitation Unit, Suite100 (562) 590-5033

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Los Angeles, 6th Floor) (213) 576-7300

Los Angeles 90013-1105

320 W. 4th St, 9th Floor (213) 576-7335

James Castranova, Presiding Judge

Disability Evaluation Unit (213) 576-7405

Information & Assistance Unit (213) 576-7389

Rehabilitation Unit (213) 576-7397

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Los Angeles, 6th Floor) (213) 576-7300

Oakland 94612-1402

1515 Clay St., 6th Floor (510) 622-2866

Kenneth Peterson, Presiding Judge

Audit Unit, 6th Floor (510) 622-2857

Disability Evaluation Unit, 6th Floor (510) 622-2859

Information & Assistance Unit, 6th Floor (510) 622-2861

Rehabilitation Unit, 6th Floor (510) 622-2860

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (San Francisco, 8th Floor) (415) 703-4955

Oxnard, CA 93030

2220 E. Gonzales Rd., Ste 100 (805) 485-2533

Larry Greenblatt, Presiding Judge

Disability Evaluation Unit (805) 485-4423

Information & Assistance Unit (805) 485-3528

Rehabilitation Unit (805) 485-3144

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Los Angeles, 6th Floor) (213) 576-7300

Pomona 91766-1601

435 West Mission Blvd., Suite 300 (909) 623-4301

Robert E. Welch, Presiding Judge

Disability Evaluation Unit, (909) 629-6288

Information & Assistance Unit, (909) 623-8568

Rehabilitation Unit, (909) 623-8767

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Anaheim, Suite 101) (714) 738-1423

Redding 96001-2796

2115 Akard, Suite 15 (530) 225-2845

Michael Hurley, Presiding Judge

Disability Evaluation Unit (530) 225-2048

Information & Assistance Unit, Suite 15 (530) 225-2047

Rehabilitation Unit, Suite 8D (530) 225-2659

SIF/UEF Claims (Sacramento, Suite 355) (530) 263-2774

Riverside 92501-3337

3737 Main Street (909) 782-4269

Elena Jackson, Presiding Judge

Disability Evaluation Unit (909) 782-4345

Information & Assistance Unit (909) 782-4347

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Anaheim, Suite 101) (714) 738-4003

Sacramento 95825-2403

2424 Arden Way, Suite 230 (916) 263-2735

Joel Harter, Presiding Judge

Audit Unit, Suite 305 (916) 263-2710

Disability Evaluation Unit, Suite 295 (916) 263-2767

Information & Assistance Unit, Ste 230 (916) 263-2718

& 263-2741

Rehabilitation Unit, Suite 395 (916) 263-2930

SIF/UEF Claims, Suite 355 (916) 263-2880

Salinas 93906-2016

1880 North Main Street (831) 443-3060

Suites 100 & 200

Thomas Clarke, Presiding Judge

Disability Evaluation Unit (San Francisco) (415) 557-0300

Information & Assistance Unit, 2nd Floor (831) 443-3058

Rehabilitation Unit (San Jose) (408) 277-1102

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (San Francisco, 8th Floor) (415) 703-4955

San Bernardino 92401-1411

464 W. Fourth Street, Suite #239 (909) 383-4341

Dennis Zimmerman, Presiding Judge

Disability Evaluation Unit (909) 383-4056

Information & Assistance Unit, Suite 360 (909) 383-4522

Rehabilitation Unit, Suite 400 (909) 383-4073

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Anaheim, Suite 101) (714) 738-4003

San Diego 92102-4402

7575 Metropolitan Road, Suite 202 (619) 767-2170

Donald Clark, Presiding Judge

Disability Evaluation Unit (619) 767-2086

Information & Assistance Unit (619) 767-2082

Rehabilitation Unit (619) 767-2085

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Anaheim, Suite 101) (714) 738-4003

San Francisco (District Office) 94102-7002

455 Golden Gate Ave., 2nd Floor, (415) 703-5011

P.O. Box 429003, San Francisco, CA 94142-9003

Susan Hamilton, Presiding Judge

Office Supervisor (415) 703-5034

Disability Evaluation Unit, 3rd Floor (415) 703-5030

Audit Unit, Suite 2002 (415) 557-0110

Information & Assistance Unit, Rm 3700 (415) 703-5020

Rehabilitation Unit, Third Floor (415) 703-5031

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims, 8th Floor (P.O. Box 429397, SF 94142-0603) (415) 703-4955

San Jose 95113-1482

100 Paseo de San Antonio, Rm. 241 (408) 277-1246

Andrew Cohn, Presiding Judge

Disability Evaluation Unit, (S.F., Suite 3300) (415) 557-0300

Information & Assistance Unit, Suite 240 (408) 277-1292

Rehabilitation Unit, Suite 240 (408) 277-1102

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (San Francisco, 8th Floor) (415) 703-4955

Santa Ana 92701-4070

28 Civic Center Plaza, Suite 451 (714) 558-4121

Allan Bass, Presiding Judge

Disability Evaluation Unit (714) 558-6749

Information & Assistance Unit, Suite 451 (714) 558-4597

Rehabilitation Unit, Suite 429A (714) 558-4581

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Anaheim, Suite 101) (714) 738-4003)

Santa Monica 90405-5219

2701 Ocean Park Blvd., Suite 220 (310) 452-9114

Franklin M. Kaye, Presiding Judge

Disability Evaluation Unit, Suite 221 (310) 450-7438

Information & Assistance Unit, Suite 221 (310) 452-1188

Rehabilitation Unit, Suite 222 (310) 452-4166

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Los Angeles, 6th Floor) (213) 576-7300

Santa Rosa 95404-4760

50 "D" Street, Suite 420 (707) 576-2391

David Applen, Presiding Judge

Disability Evaluation Unit (San Francisco) (415) 557-1727

Information & Assistance Unit (707) 756-2452

Rehabilitation Unit (707) 756-2427

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (San Francisco, 8th Floor) (415) 703-4955

Stockton 95202-2393

31 East Channel Street, Rm. 344 (209) 948-7759

Bertram Cohen, Presiding Judge

Disability Evaluation Unit (209) 948-3651

Information & Assistance Unit (209) 948-7980

Rehabilitation Unit - Rm. 412 (209) 948-3608

SIF/UEF Claims (Sacramento, Suite 355) (916) 263-2774

Van Nuys 91401-3373

6150 Van Nuys Blvd., Suite 105 (818) 901-5367

Linda Morgan, Presiding Judge

Office Supervisor (818) 901-5367 or 3505

Disability Evaluation Unit (818) 901-5376

Information & Assistance Unit (818) 901-5374

Rehabilitation Unit, Suite 215 (818) 901-5443

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (Los Angeles, 6th Floor) (213) 576-7300

Walnut Creek 94598-2422

175 Lennon Lane, 2nd Floor (925) 977-8313

Christopher E. Hamilton, Acting Presiding Judge

Disability Evaluation Unit (925) 977-8358

Information & Assistance Unit (925) 977-8343

Rehabilitation Unit (925) 977-8318

SIF (Sacramento, Suite 355) (916) 263-2774

UEF Claims (San Francisco, 8th Floor) (415) 703-4955

1515 Arapahoe

Denver, CO 80202-2117

Customer Service

(303) 318-8700

Toll Free - 888-390-7936

or for Spanish callers

1-800-685-0891

Fax (303) 318-8710

Office of Workers' Compensation

Wilmington: (302) 761-8200

Milford: (302) 422-1392

Bureau Chief

Margaret Young

documents for retrieval and save documents on microfilm

Contact Information

Lee Pease - Tel 850.488.2713

Bureau of Compliance (Central Office)

2012 Capital Circle, SE

Suite 209, Hartman Building

Tallahassee, Florida 32399-2161

Bureau Chief

Jimmy R. Hall

Contact Information

Jimmy R. Hall, Bureau Chief - Tel 850.410.2838

Tan Moss - Tel 850.487.0884 x423

103 Forrest Building

2728 Centerview Drive

Tallahassee, Florida 32399-0684

Tel 850.488.5201

Hot Line - Tel 1.800.342.1741

Bureau Chief

Ted Altavilla

Contact Information

Ted Altavilla, Bureau Chief - Tel 850.488.3030 x164

Operations Management - 850.488.3030 x171

Records Management - 850.488.3030 x180

Mgmt Information Systems - Tel 850.488.3030 x158

Customer Support Center - Tel 850.488.3030 x149

Electronic Data Management - Tel 850.488.3030 x183

Electronic Data Interchange - Tel 850.921.1325

Bureau of Information Management (Central Office)

2728 Centerview Drive

Suite 210 Forrest Building

Tallahassee, Florida 32399-0685

Tel 850.488.3030

Bureau Chief

James L. Delaney

Contact Information

James Delaney, Bureau Chief - Tel 850.488.2031 x154

Carrier Audits, Paylag - Tel 850.488.2031 x152

A.C.P.S. - Tel 850.488.2031 x173

First Report of Injury/Illness - Tel 850.922.4477 x107

Penalty Assessments - Tel 850.487.4991 x127

Benefit Payments - Tel 850.488.9074 x135

Bureau of Monitoring and Audit (Central Office)

2562 Executive Center Circle East

Montgomery Building, Suite 100

Tallahassee, Florida 32399-0684

Tel 850.488.2031

Fax Numbers (Central Office)

Bureau Chief's Office - Tel 850.414.2244

First Report of Injury or Illness - Tel 850.414.2244

Audits and Penalties - Tel 850.488.2244

Acting Bureau Chief

Sam Brooks

Contact Information

Sam Brooks, Acting Bureau Chief - Tel 850.921.0286

Insolvency Petitions - Tel 850.921.0388

Headquarters and Field Support Section - Tel 850.922.8062

Self-Insurance Section - Tel 850.488.0667

District Administration Section - Tel 850.922.8062

Special Disability Trust Fund Section - Tel 850.488.7234

Bureau of Operations Support (Central Office)

2728 Centerview Drive

Suite 302, Forrest Building

Tallahassee, Florida 32399-0682

P.O. Box 5497

Tallahassee, Fl. 32314

Bureau Chief

Reginald L. Watkins

Contact Information

Administrative Support - Tel 850.488.3431 x317

Carrier Compliance and Review - Tel 850.488.3431 x314

Data Information Management - Tel 850.488.3431 x346

Dispute Resolution - Tel 850.488.3431 x313

Program Evaluation - Tel 850.488.3431 x332

Provider Relations - Tel 850.488.3431 x326

Reemployment/Training/Education - Tel 850.488.3431 x318

Obligation to Rehire - Tel 850.488.3431 x318

Bureau of Rehabilitation and Medical Services (Central Office)

2728 Centerview Drive

101 Forrest Building

Tallahassee, FL 32399-0664

Bureau of Research and Education

Bureau Chief

Barbara Markiewicz

Contact Information

Barbara Markiewicz, Bureau Chief - Tel 850.488.5838

Research Section - Tel 850.921.0415

Customer Education Section - Tel 850.922.6488

Data Quality Audit Consulting Team - Tel 850.921.1112

Statistics Team - Tel 850.922.8953

Bureau of Research and Education (Central Office)

2012 Capital Circle, SE

Suite 106 Hartman Building

Tallahassee, Florida 32399-0682

Acting Bureau Chief

Sam Brooks

Contact Information

Policy, Administration - Tel 850.488.4896

Reimbursement Process - Tel 850.488.4896

Status of checks - Tel 850.488.4896

Bulletin Board System - Tel 850.488.4896

Special Disability Trust Fund (Central Office)

Special Disability Trust Fund

2012 Capital Circle, SE, 102 Hartman Building

Tallahassee, Florida 32399-0682

Tallahassee Offices

Bureau of Compliance

2810 Sharer Road, Suite 27

Tallahassee, Florida 32312

Tel 850.922.0426

Fax 850.922.6780

Bureau of Rehabilitation and Medical Services

2810 Sharer Road, Suite 27

Tallahassee, Florida 32312

Tel 850.488.8720

Fax 850.922.6780

Panama City Offices

Bureau of Compliance

1002 W. 23 St., Suite 230

Panama City, Florida 32405

Tel 850.747.5245

Fax 850.747.5426

Employee Assistance Office

1002 W. 23rd St., Suite 230

Panama City, Florida 32405

Tel 850.747.5424

Fax 850.747.5426

Bureau of Rehabilitation and Medical Services

1002 W. 23rd St., Suite 230

Panama City, Florida 32405

Tel 850.747.5675

Fax 850.747.5426

Pensacola Offices

Bureau of Compliance

3670-A North L Street

Pensacola, Florida 32505

Tel 850.595.5505

Fax 850.595.5510

Employee Assistance Office

3670A North L Street

Pensacola, Florida 32505

Tel 850.595.5511

Fax 850.595.5510

Bureau of Rehabilitation and Medical Services

3670A North L Street

Pensacola, Florida 32505

Tel 850.595.5500

Fax 850.595.5510

District Two Offices

Jacksonville Offices

Bureau of Compliance

11700 San Jose Boulevard, Suite 3

Jacksonville, Florida 32223

Tel 904.448.7990

Fax 904.448.7996

Employee Assistance Office

215 Market Street, Suite 380

Jacksonville, Florida 32207

Tel 904.798.4372

Fax 904.798.4379

Bureau of Rehabilitation and Medical Services

215 Market Street, Suite 380

Jacksonville, Florida 32202

Tel 904.359.6101

Fax 904.359.6485

Gainesville Offices

Bureau of Compliance

4603 N.W. 6th Street

Gainesville, Florida 32609

Tel 352.334-1725

Fax 352.955.2339

Employee Assistance Office

4603 N.W. 6th Street

Gainesville, Florida 32609

Tel 352.334.1776

Fax 352.955.2339

Bureau of Rehabilitation and Medical Services

4603 N.W. 6th Street

Gainesville, Florida 32609

Tel 352.955.2019

Fax 352.955.2339

Ocala Offices

Employee Assistance Office

Ocala Professional Center

1111 N.E. 25th Avenue, Suite 403

Ocala, Florida 34470

Tel 352.401.5339

Fax 352.401.5344

District Three Offices

Orlando Offices

Employee Assistance Office

400 W. Robinson Street, Suite N-602

Orlando, Florida 32801

Tel 407.245.0758

Fax 407.245.0891

Bureau of Rehabilitation and Medical Services

400 W. Robinson Street, Suite N-608

Orlando, Florida 32801

Tel 407.245.0895

Fax 407.245.0768

Bureau of Compliance

400 W. Robinson Street, Suite N-601

Orlando, Florida 32801

Tel 407.245.0896

Fax 407.999.5570

Daytona Beach Offices

Employee Assistance Office

444 Seabreeze Boulevard., Suite 460

Daytona Beach., Florida 32118

Tel 904.238.3161

Fax 904.254.3767

Bureau of Rehabilitation and Medical Services

444 Seabreeze Boulevard., Suite 460

Daytona Beach., Florida 32118

Tel 904.254.3761

Fax 904.254.3767

Bureau of Compliance

444 Seabreeze Boulevard, Suite 460

Daytona Beach, Florida 32118

Fax 904.254.3767

Cocoa Beach Offices

Employee Assistance Office

2300 State Road 524, Suite 106

Cocoa, Florida 32922

Tel 321.634.3596

Fax 321.634.3599

Bureau of Rehabilitation and Medical Services

2300 State Road 524, Suite 106

Cocoa, Florida 32922

Tel 321.634.3597

Fax 321.634.3599

Bureau of Compliance

2300 State Road 524, Suite 106

Cocoa, Florida 32926

Fax 321.634.3599

District Four Offices

[District Four Map]

Tampa Offices

Bureau of Rehabilitation and Medical Services

Tampa Employment Service Center

9215 N. Florida Avenue, Suite #107

Tampa, Florida 33612

Tel 813.930.7546

Fax 813.930.7569

Bureau of Compliance

Tampa Employment Service Center

9215 N. Florida Avenue, Suite #107

Tampa, Florida 33612-7905

Tel 813.930.7547

Fax 813.930.7645

Employee Assistance Office

Tampa Employment Service Center

9215 N. Florida Avenue, Suite #107

Tampa, Florida 33612-7905

Tel 813.930.7545

Fax 813.930.7569

St. Petersburg Offices

Bureau of Rehabilitation and Medical Services

9400 4th. St. North, Suite 203

St. Petersburg, Florida 33702

Tel 727.570.3052

Fax 727.570.3058

Sarasota Offices

Bureau of Rehabilitation and Medical Services

1718 Main Street, Suite 201

Sarasota, Florida 34236

Tel 941.361.6022

Fax 941.361.6042

Bureau of Compliance

1718 Main Street, Suite 201

Sarasota, Florida 34236

Tel 941.361.6025

Fax 941.361.6042

District Five Offices

West Palm Beach Offices

Bureau of Compliance

3111 South Dixie Highway, Suite 123

West Palm Beach, Florida 33405

Tel 561.837.5412

Fax 561.837.5416

Employee Assistance Office

3111 South Dixie Highway, Suite 123

West Palm Beach, Florida 33405

Tel 561.837.5293

Fax 561.837.5416

Bureau of Rehabilitation and Medical Services

3111 South Dixie Highway, Suite 243

West Palm Beach, Florida 33405

Tel 561.837.5612

Fax 561.837.5626

Ft. Myers Offices

Bureau of Compliance

12381 South Cleveland Avenue, Suite 506

Ft. Myers, Florida 33907-3853

Tel 941.278.7246

Fax 941.278.7209

Employee Assistance Office

12381 South Cleveland Avenue, Suite 506

Ft. Myers, Florida 33907-3853

Tel 941.278.7091

Fax 941.278.7209

Bureau of Rehabilitation and Medical Services

12381 South Cleveland Avenue, Suite 506

Ft. Myers, Florida 33907-3853

Tel 941.278.7092

Fax 941.278.7209

District Six Offices

Ft. Lauderdale Offices

Bureau of Compliance

1415 East Sunrise Boulevard, Suite 300A

Ft. Lauderdale, Florida 33304-2349

Tel 954.467.5916

Fax 954.467.4610

Employee Assistance Office

1415 East Sunrise Boulevard, Suite 604

Ft. Lauderdale, Florida 33304-2349

Tel 954.467.4686

Fax 954.467.4358

Bureau of Rehabilitation and Medical Services

1415 East Sunrise Boulevard, Suite 300A

Ft. Lauderdale, Florida 33304-2349

Tel 954.467.4612

Fax 954.467.5916

District Seven Offices

Miami Offices

Bureau of Compliance

401 N.W. Second Avenue, Suite S-321

Miami, Florida 33128-1740

Tel 305.377.5385

Fax 305.377.7239

Employee Assistance Office

401 N.W. Second Avenue, Suite S-321

Miami, Florida 33128-1740

Tel 305.377.5965

Fax 305.377.5625

Bureau of Rehabilitation and Medical Services

401 N.W. Second Avenue, Suite S-321

Miami, Florida 33128-1797

Tel 305.377.5379

Fax 305.377.7199

Chicago:

100 W. Randolph St. #8-200 60601 312/814-6611

Peoria:

202 N.E. Madison Ave. #201 61602 309/671-3019

Rockford:

200 S. Wyman 61101 815/987-7292

Springfield:

701 S. Second St. 62704 217/785-7087

TDD:

Telecomm. Device for the Deaf 312/814-2959

Worker's Compensation Board of Indiana

402 West Washington Street Room W-196

Indianapolis, Indiana 46204

Telephone: 515.281.5387 or 1.800.JOB.IOWA

TTD: 515.281.4748 or 1.800.831.1399

FAX: 515.281.6501

Postal address:

1000 East Grand Avenue, Des Moines, Iowa 50319

Kansas Workers Compensation,

Department of Human Resources,

800 SW Jackson, Ste. 600,

Topeka, Kansas 66612-1227;

(785) 296-3441.

Address and Directions to the Boston

Department of Industrial Accidents

600 Washington Street, 7th Floor

Boston, MA 02111

Department of Industrial Accidents

30 Third Street

Fall River, MA 02720

Phone: 508-676-3406

FAX: 508-677-0655

Department of Industrial Accidents

160 Winthrop Avenue

Lawrence, MA 01843

Phone: (978) 683-6420

FAX: (978) 683-3137

Department of Industrial Accidents

436 Dwight Street, Room 105

Phone: 413-784-1133

FAX: 413-784-1138

Department of Consumer & Industry Services

525 W. Ottawa, P.O. Box 30004

Lansing, MI 48909

(517) 373-1820

Contact: bwdcinfo@cis.state.mi.us

Minnesota Department of Labor and Industry

443 Lafayette Road N.,

St. Paul, MN 55155

call (651) 297-4377

(651) 297-4198

TDD, (218) 723-4670

1-800-DIAL-DLI (1-800-342-5354)

Telephone: 800-599-5155 (toll free in Nebraska)

FAX: 402-471-2700 (525 Bldg., Lincoln),

402-471-8231 (State Capitol Bldg., Lincoln),

402-595-1299 (Hall of Justice, Omaha)

Postal address:

Nebraska Workers’ Compensation Court,

P.O. Box 98908,

Lincoln NE 68509-8908

Electronic mail: newcc@wcc.state.ne.us

N.A.I.W.

555 E. Washington Avenue,

Ste. 4800

Las Vegas, Nevada 89101

PH (702)486-2830

FAX (702)486-2844 N.A.I.W.

1000 E. William Street,

Ste. 213

Carson City, Nevada 89710

PH (775)687-4076

Tel: (603) 271-3176 or 1-800-272-4353

New Hampshire Department of Labor

95 Pleasant Street

Concord, NH 03301

NJ Department of Labor

Division of Workers' Compensation

P.O. Box 381

Trenton,

New Jersey 08625-0381

tel: (609) 292-2515, fax (609) 984-2515

webmaster: skosnik@dol.state.nj.us

Compensation Administration

2410 Centre Ave SE

P O Box 27198

Albuquerque NM 87125-7198

(505) 841-6000

Executive Offices,

20 Park Street,

Albany, NY 12207

North Dakota Workers Compensation

500 East Front Avenue

Bismarck ND 58504-5685

701-328-3800

1-800-777-5033

701-328-3786(for hearing impaired)

Oklahoma Workers' Compensation Court

Insurance Department

1915 North Stiles

Oklahoma City, OK 73105

e-mail: cmills@ pawcnote.state.pa.us

Claims Information Helpline: (800) 482-2383

Employer Services Helpline: (717) 772-3702

Information for People with Hearing and Speech Loss (TTY): (800) 362-4228

South Carolina Workers' Compensation Commission

1612 MARION STREET

P.O. BOX 1715

COLUMBIA,

SOUTH CAROLINA 29202-1715

Labor and Management

Kneip Building

700 Governors Drive

Pierre, SD 57501-2291

Phone: (605) 773-3681

Fax: (605) 773-4211

E-Mail: labor@dol-pr.state.sd.us

Tennessee Department of Labor and Workforce Development

Andrew Johnson Tower, 8th Floor

710 James Robertson Parkway

Nashville, TN 37243-0655

Phone: (615) 741-6642

Fax: (615) 741-5078

P.O. Box 146610,

Salt Lake City,

UT, 84114-6610

Street Address:

160 East 300 South,

3rd Floor,

Salt Lake City,

UT 84111

801-530-6800

Vermont Department of Labor and Industry

National Life Building

Drawer 20

Montpelier,

Vermont 05620-3401

Telephone:(802) 828-2286

Fax: (802) 828-2195

The Act provides a no-fault remedy for workers who are injured in their employment. "No-fault" simply means that the injured worker does not have to prove that their work injury was someone else's fault in order to receive workers' compensation benefits for an on-the-job injury. However, the worker must establish the conditions for compensability set out in the Act before he or she can recover benefits.

Office of Information and Assistance: 1-800-LISTENS (547-8367)

Aberdeen

(360) 533-8200

FAX: (360) 533-8206

TDD: (360) 533-9336

415 West Wishkah, Suite 1B

Aberdeen, WA 98520-0013

Bellevue

(425) 990-1400

FAX: (425) 990-1446

TDD: (425) 637-5450

616 120th Avenue NE, Suite C201

Bellevue, WA 98005-3037.

Bellingham

(360) 647-7300

FAX: 647-7310

TDD: (360) 647-7299

1720 Ellis Street, Suite 200

Bellingham, WA 98225-4600

Bremerton

(360) 415-4000

FAX: (360) 415-4047

TDD: (360) 415-4014

500 Pacific Avenue, Suite 400

Bremerton, WA 98337-1904

Colville

(509) 684-7417

Toll-free 1-800-509-9174

FAX (509) 684-7416

298 South Main, Suite 203

Colville, WA 99114-2416

East Wenatchee

(509) 886-6500

or 1-800-292-5920

FAX: (509) 886-6510

TDD: (509) 886-6512

519 Grant Road

East Wenatchee, WA 98802-5459

Everett

(425) 290-1300

FAX: (425) 290-1399

TDD: (425) 290-1407

729 100th St. S.E.

Everett WA 98208-3727

Kennewick

(509) 735-0100

FAX: (509) 735-0120

TDD: (509) 735-0146

500 N Morain, Suite 1110

Kennewick, WA 99336-2683

1-800-547-9411

Longview

(360) 575-6900

FAX: (360) 575-6918

TDD: (360) 575-6921

900 Ocean Beach Hwy

Longview, WA 98632-4013

Moses Lake

(509) 764-6900

Claims/industrial insurance - (509) 764-6912

Electrical - (509) 764-6900

FAX: (509) 764-6923

TDD: (509) 754-6030

3001 W. Broadway Ave.

Moses Lake, WA 98837-2907

Mount Vernon

(360) 416-3000

FAX: (360) 416-3030

TDD: (360) 416-3072

525 E College Way, Suite H

Mount Vernon, WA 98273-5500

Okanogan

(509) 826-7345

FAX: (509) 826-7349

TDD: (509) 826-7370

1234 2nd Avenue S

Okanogan, WA 98840-9723

Port Angeles

(360) 417-2700

FAX: (360) 417-2733

TDD: (360) 417-2752

1605 East Front Street, Suite C

Port Angeles, WA 98362-4628

Pullman

(509)334-5296

Toll-free 1-800-509-0025

FAX: (509) 334-3417

1250 Bishop Blvd SE, Suite G

PO Box 847

Pullman, WA 99163-0847

Seattle

(206) 281-5400

FAX: (206) 281-5529

TDD: (206) 281-5528

300 W Harrison Street

Seattle, WA 98119-4081

Spokane

(509) 324-2600

Toll-free: 1-800-509-8847 FAX: (509) 324-2601

TDD: (509) 324-2653

901 N Monroe Street, Suite 100

Spokane, WA 99201-2149

Tacoma

(253) 596-3800

FAX: (253) 596-3956

TDD: (253) 596-3887

950 Broadway, Suite 200

Tacoma, WA 98402-4453

Tukwila

(206) 248-8240

FAX: (206) 248-8296

TDD: (206) 248-8245

PO Box 69050

12806 Gateway Drive

Seattle, WA 98168-1050

Tumwater

(360) 902-5799

FAX: (360) 902-5792

TDD: (360) 902-4637

1st Floor, Lobby

Mailing address: PO Box 44851

Olympia, WA 98504-4851

Physical address: 7273 Linderson Way SW

Tumwater, WA 98501-5414

Vancouver

(360) 896-2300

FAX: (360) 896-2345

TDD: (360) 896-2304

312 SE Stonemill Dr, Suite 120

Vancouver, WA 98684-3508

Walla Walla

(509) 527-4437

FAX: (509) 527-4486

TDD: (509) 527-4172

1815 Portland Avenue, Suite 2

Walla Walla, WA 99362-2246

Yakima

(509) 454-3700

Toll-free 1-800-354-5423

FAX: (509) 454-3710

TDD: (509) 454-3741

15 W. Yakima Avenue, Suite 100

Yakima, WA 98902-3480

How to File a Claim-- for a step-by-step description of filing a claim with Workers' Compensation, contact us directly at 1-800-628-4265.

Wyoming Workers' Safety and Compensation Division

122 West 25th Street

Cheyenne, WY 82002

Kathleen McKinna

Administrator

Phone: (307) 777-7159

Fax: (307) 777-5946