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Use the appropriate form for your state to report a claim.

 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)

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

BY PHONE: Call (800) 311-0997, ext. 2009 or 2017, and our staff will be happy to complete the paperwork for you. Please allow ample time for the claims specialist to gather all the information from you.

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

BY MAIL: Complete the appropriate new claim form and mail it to us at:
                400 NORTH TRENTON, SUITE 200
                RUSTON, LA 71270

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 Management Services. The State may assess a penalty against your company if claims with disability are not reported to them within ten (10) days of the accident.

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