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To report a workers compensation claim, use the appropriate form for your state. After completing the form, you can save it to your computer and email it to claims@stonetrustinsurance.com.

 ARKANSAS First Report of Injury/Illness Form (PDF)

 LOUISIANA First Report of Injury/Illness Form (PDF)

 MISSISSIPPI First Report of Injury/Illness Form (PDF)

 OKLAHOMA First Report of Injury/Illness Form (PDF)

 TEXAS First Report of Injury/Illness Form (PDF)

For claims under the Longshore and Harbor Workers' Act:

 LONGSHORE First Report of Injury/Occupational Illness Form (PDF)
 LONGSHORE Supplementary Report of Injury/Illness Form (PDF)


Your claim can be reported by email, fax, or mail. Upon receipt of your claim, we will file the appropriate documents with the proper regulatory authorities in your state.

BY EMAIL: Complete the appropriate workers compensation claim form, save it to your computer, and email it to claims@stonetrustinsurance.com.

BY FAX: Complete the appropriate claim form and fax it toll free to (866) 923-1871.

BY MAIL: Complete the appropriate claim form and mail it to us at:
                5615 CORPORATE BLVD, SUITE 700
                BATON ROUGE, LA 70808

Please report all claims to us immediately to ensure prompt investigation and payment of benefits. A delay in payment of benefits may result in the assessment of penalties. Drug testing should be completed on the day of the accident.

All accidents must be reported to Stonetrust. The State may assess a penalty against your company if workers compensation claims with disability are not reported to them within ten (10) days of the accident.



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