List of Workers' Compensation State Agencies
Here is an excellent list of Workers' Compensation agencies complied by compiled by Robert W. McDowell for the North Carolina Industrial Commission, 4340 Mail Service Center, Raleigh, North Carolina 27699-4340.
United States and D.C. U.S. Department of Labor
U.S. Department of Labor (DOL)
200 Constitution Avenue NW
Washington, District of Columbia 20210
(202) 693-6000
Alabama
State of Alabama
Department of Industrial Relations
Workers' Compensation Division
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 Alaska
Department of Labor and Workforce Development
Workers' Compensation Division
Post Office Box 25512
Juneau, Alaska 99802-5512
(907) 465-2790 ; Fax: (907) 465-2797
Workers' Compensation Board
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
Industrial Commission of Arizona
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
Industrial Commission Review Board
State Compensation Fund
3031 North Second Street
Phoenix, Arizona 85012
(602) 631-2000 ; Fax: (602) 631-2213
Arkansas
State of Arkansas
Workers' Compensation Commission
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 California
Department of Industrial Relations
Commission on Health and Safety and Workers' Compensation (CHSWC)
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)
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
Industrial Medical Council (IMC)
Post Office Box 8888
San Francisco, California 994128-8888
(800) 794-6900 (in California), (650) 737-2000
Workers' Compensation Appeals Board (WCAB)
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)
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)
1275 Market Street
San Francisco, California 94103
(415) 565-1234 , Claims Reporting Service (toll free): (888) 222-3211
Colorado
State of Colorado
Department of Labor & Employment
Division of Workers' Compensation
1515 Arapahoe Street
Tower 2, Suite 500
Denver, Colorado 80202-2117
(888) 390-7936 , (800) 685-0891 (Spanish), (303) 575-8700 , 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
Industrial Claims Appeals Office
Workers' Compensation: (303) 620-4277
Unemployment Insurance: (303) 620-4272
1515 Arapahoe Street
Tower 2, Suite 350
Denver, Colorado 80202
(303) 894-2378
Connecticut
State of Connecticut
Workers' Compensation Commission
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
Compensation Review Board (CRB)
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(203) 493-1500 , Fax: (203) 247-1361
Delaware
State of Delaware
Department of Labor
4425 North Market Street
Wilmington, Delaware 19802
Division of Industrial Affairs
4425 North Market Street
Wilmington, Delaware 19802
Office of Workers' Compensation
State Office Building, Sixth Floor
820 North French Street
Wilmington, Delaware 19801
District of Columbia
District of Columbia
Department of Employment Services
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' Compensation
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 Adjudication
64 New York Avenue, N.E., Room 2011
Washington, District of Columbia 20002
(202) 671-2233 , Fax: (202) 673-6938
Florida
State of Florida
Florida Department of Financial Services
Division of Workers' Compensation
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
Workers' Compensation Oversight Board
100 Marathon Building
2574 Seagate Drive
Tallahassee, Florida 32399-2152
(850) 487-2613 , SunCom: 277-2613 ; Fax: (850) 487-3232
Florida Division of Administrative Hearings
Office of Judges of Compensation Claims
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
Georgia State Board of Workers' Compensation
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
Georgia Subsequent Injury Trust Fund
Suite 500, North Tower
1720 Peachtree Street, NW
Atlanta, Georgia 30309-2420
(404) 206-6360 , Fax: (404) 206-6363 , TDD: (404) 206-5053
Hawaii
State of Hawaii
Department of Labor & Industrial Relations (DLIR)
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
Industrial Commission
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
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
Industrial Commission
100 West Randolph Street, Suite 8-200
Chicago, Illinois 60601
(312) 814-6611 , Fax: (312) 814-6523
Click here to download free fillable PDF (Portable Document Format) versions of Illinois workers' compensation forms courtesy
Interface Technologies
Office of Self-Insurance Administration
701 South Second Street
Springfield, Illinois 62704
(217) 785-7084 , Fax: (217) 785-6557
Indiana
State of Indiana
Workers' Compensation Board of Indiana
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
Iowa Workforce Development
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA , (515) 281-5387
Iowa Division of Workers' Compensation
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA (562-4692) , (515) 281-5387 ;
Fax: (515) 281-6501
E-mail: IWD.DWC@iwd.state.ia.us
Kansas
State of Kansas
Department of Human Resources
Kansas Workers' Compensation
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 Kentucky
Kentucky Labor Cabinet
1047 U.S. 127S, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070
Department of Workers' Claims
657 To Be Announced 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 Technologies
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. )
Louisiana
State of Louisiana
Department of Labor
Mailing Address:
Post Office Box 94094
Baton Rouge, Louisiana 70804-9094
Street Address:
1001 North 23rd Street
Baton Rouge, Louisiana 70804
(225) 342-3111
Office of Workers' Compensation Administration
Mailing Address:
Post Office Box 94040
Baton Rouge, Louisiana 70804-9040
Street Address:
1001 North 23rd Street
Baton Rouge, Louisiana 70802
(225) 342-7555 , Fax: (225) 342-5665 , Fraud: (800) 201-3362 ,
Safety: (800) 201-2497
Maine
State of Maine
Workers' Compensation Board
27 State House Station
Augusta, Maine 04333-0027
(207) 287-7096 ; Fax: (207) 287-7198
Click here to download free fillable PDF (Portable Document Format) versions of Maine workers' compensation forms courtesy Interface Technologies
Maryland
State of Maryland
Maryland Workers' Compensation Commission
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 Technologies
Insured Workers' Insurance Fund
8722 Loch Raven Boulevard
Towson, Maryland 21286-2235
(800) 492-0197 , (410) 494-2200 Fax: (410) 494-2001
Massachusetts
Commonwealth of Massachusetts
Department of Industrial Accidents
600 Washington Street, 7th 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 Technologies
Massachusetts Workers' Compensation Advisory Council
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(617) 727-4900 x378 ,Fax: (617) 727-7122
Workers' Compensation Rating and Inspection Bureau of Massachusetts
101 Arch Street
Boston, Massachusetts 02110
(617) 439-9030 , Fax: (617) 439-6055
Michigan
State of Michigan
Department of Consumer & Industry Services
G. Mennen William Building
525 W. Ottawa
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820
Bureau of Workers' & Unemployment Disability Compensation
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 Technologies
Board of Magistrates
Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380 , Fax: (517) 241-9379 , TDD in Lansing: (517) 322-5987
Workers' Compensation Appellate Commission
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
300 North Washington Square
Lansing, Michigan 48913
(517) 373-9808
Michigan Business Guide to Workers' Compensation
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
State of Minnesota
Department of Labor & Industry
443 Lafayette Road
St. Paul, Minnesota 55155
(800) DIAL-DLI ( 342-5354) , (651) 284-5000 ; TTY: (612) 297-4198
Workers' Compensation Division
443 Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI ( 342-5354) in Greater Minnesota, (800) 342-5354 or (651) 284-5005 in the St. Paul area, (800) 365-4584 or (218) 723-4670 in the Duluth area; Fax: (651) 282-5405 ; Fraud: (888) 372-8366 , (651) 297-5797 , TDD: (651) 297-4198
Click here to download free fillable PDF (Portable Document Format) versions of Minnesota workers' compensation forms courtesy Interface Technologies - http://www.interfacetec.com/
Workers' Compensation Court of Appeals
405 Minnesota Judicial Center
25 Constitution Avenue
St. Paul, Minnesota 55155
(651) 296-6526 , Fax: (651) 297-2520 , TTY/TDD: (800) 627-3529
Mississippi
State of Mississippi
Mississippi Workers' Compensation Commission
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
Department of Labor and Industrial Relations
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
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 Technologies
Montana
State of Montana
Montana State Fund
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
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
Department of Labor & Industry
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 Nebraska
Workers' Compensation Court
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 Nevada
Department of Business & Industry
In Northern Nevada:
788 Fairview Avenue, Suite 100
Carson City, Nevada 89701-5491
(775) 687-4250, Fax: (775) 687-4266
In Southern Nevada:
555 E. Washington Avenue, Suite 4900
Las Vegas, Nevada 89101
(702) 486-2750, Fax: (702) 486-2758
Division of Industrial Relations
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7260 , Fax: (775) 687-6305
Industrial Insurance Regulation Section
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 Workers
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
515 East Musser Street
Carson City, Nevada 89714
(775) 886-1000 ; Claim Reporting: (888) 900-1455 , Fax: (775) 327-2701 ; Underwriting/Insurance Services: (888) 682-6671
E-mail: info@eicn.com
New Hampshire
State of New Hampshire
Department of Labor
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3177
Workers' Compensation Division
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 Technologies
New Jersey
State of New Jersey
Department of Labor
John Fitch Plaza
Post Office Box 110
Trenton, New Jersey 08625
(609) 292-2323 , Fax: (609) 633-9271
Division of Workers' Compensation
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 Technologies
N.J. Compensation Rating and Inspection Bureau
60 Park Place
Newark, New Jersey 07102
(973) 622-6014 , Fax: (973) 622-6110
New Mexico
State of New Mexico
Workers' Compensation Administration
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 York
New York State Workers' Compensation Board
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 Technologies
New York State Insurance Fund
199 Church Street
New York, New York 10007
(212) 312-9000 , Fax: (212) 385-2073
North Carolina
State of North Carolina
Department of Commerce
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
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)
Ombudsman Section : (800) 688-8349
Safety Education Section : (919) 807-2603
Click here to download free fillable PDF (Portable Document Format) versions of North Carolina workers' compensation forms courtesy Interface Technologies
North Dakota
State of North Dakota
Workforce Safety & Insurance
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
State of Ohio
Ohio Bureau of Workers' Compensation
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 Technologies
Industrial Commission of Ohio
30 West Spring Street
Columbus, Ohio 43215-2256
(800) 521-2691 , (614) 466-6136 , Fax: (614) 752-8304
Oklahoma
State of Oklahoma
Department of Labor
4001 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105-5212
(888) 269-5353 , (405) 528-1500 Fax: (405) 528-5751
Workers' Enforcement Compensation Division
Oklahoma Workers' Compensation Court
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 Oklahoma
(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
Department of Consumer & Business Services
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4100 , Fax: (503) 378-6444
Workers' Compensation Division
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 Board
2601 25th Street SE, Suite 150
Salem, Oregon 97302-1282
(503) 378-3308
Workers' Compensation Management-Labor Advisory Committee
Department of Consumer & Business Services
350 Winter Street, Room 200
Salem, Oregon 97301-3878
(503) 947-7867 ; Fax: (503) 378-6444
Ombudsman for Injured Workers
350 Winter Street NE, Room 160
Salem, Oregon 97310
(800) 927-1271 , (503) 378-3351
Ombudsman for Small Business
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4209 , V/TTY: (503) 378-4100
SAIF Corporation
400 High Street SE
Salem, Oregon 97312-1000
(800) 285-8525 , (503) 373-8000
Pennsylvania
State of Pennsylvania
Department of Labor and Industry
Labor & Industry Building
Room 1700
7th and Forster Streets
Harrisburg, Pennsylvania 17120
(717) 787-5279
Bureau of Workers' Compensation
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 Technologies
State Workers' Insurance Fund
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
Workers' Compensation Court
One Dorrance Plaza
Providence, Rhode Island 02903
(401) 277-3097 , Fax: (401) 421-3123
Department of Labor and Training
1511 Pontiac Avenue
Cranston, Rhode Island 02920-4407
(401) 462-8000
Workers' Compensation Division
1511 Pontiac Avenue
Cranston, Rhode Island 02920-0942
Post Office Box 20190
Cranston, Rhode Island 02920-0190
(401) 462-8100 , Fax: (401) 462-8105 , TDD: (401) 462-8084
Click here to download free fillable PDF (Portable Document Format) versions of Rhode Island workers' compensation forms courtesy Interface Technologies
South Carolina
State of South Carolina
Workers' Compensation Commission
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 Technologies
South Carolina State Accident Fund
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 Dakota
Department of Labor
Division of Labor and Management
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 Tennessee
Department of Labor and Workforce Development
Workers' Compensation Division
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 Technologies
Texas
State of Texas
Texas Workers' Compensation Commission (TWCC)
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 Technologies
Utah
State of Utah
Industrial Commission of Utah
Industrial Accidents Division
Post Office Box 146610
Salt Lake City, Utah 84114-6610
(801) 530-6800 , Fax: (801) 530-6804
Workers' Compensation Fund of Utah
Salt Lake City Office
392 East 6400 South
Murray, Utah 84107
(800) 446-2667
Vermont
State of Vermont
Department of Labor & Industry
National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2288 , Fax: (802) 828-2195
Workers' Compensation Division
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 Technologies
Virginia
State of Virginia
Virginia Workers' Compensation Commission
1000 DMV Drive
Richmond, Virginia 23220
(804) 367-8600 , Fax: (804) 367-9740 , TDD: (804) 367-8600
Click here to download free fillable PDF (Portable Document Format) versions of Virginia workers' compensation forms courtesy Interface Technologies
Washington
State of Washington
Department of Labor and Industries
Labor and Industries Building
Post Office Box 44001
Olympia, Washington 98504-4001
(800) 547-8367 , (360) 902-4213 , Fax: (360) 902-4202
Board of Industrial Insurance Appeals
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 Technologies
Workers' Compensation Information
West Virginia
West Virginia
Workers' Compensation Commission
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 Judges
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 Review
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
Department of Workforce Development
Workers' Compensation Division
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 Technologies
Workers' Compensation Advisory Council
(608) 266-6841
Wisconsin Compensation Rating Bureau
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 Commission
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 Wyoming
Department of Employment
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 Division
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 Division
Casper, Wyoming 82602-2760
(307) 235-3201 (Casper) or (307) 777-7471 (Cheyenne)
Other U.S. Areas
American Samoa
American Samoa
Workmen's Compensation Commission
Office of the Governor
Pago Pago, American Samoa 96799
Guam
Guam
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 Nation
Workers' Compensation Program
Post Office Box 2489
Window Rock, Arizona 86515
(928) 871-6389 , Fax: (928) 871-6087
Puerto Rico
Puerto Rico
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 Department of Labor
21-31 Hospital Street
Christiansted
St. Croix, U.S. Virgin Islands 00802
(340) 776-3700 or (340) 773-1994 ,
Fax: (340) 774-5908 , (340) 773-0094 ,
or (340) 776-0529
Workers' Compensation Division
3012 Vitraco Mall, Golden Rock
Christiansted
St. Croix, Virgin Islands 00820-4666
(809) 692-9390 , Fax: (809) 773-4338
Source: It may be reprinted for free as long as it contains the following credit line: "This Workers' Compensation Administrators Directory was compiled by Robert W. McDowell for the North Carolina Industrial Commission, 4340 Mail Service Center, Raleigh, North Carolina 27699-4340.
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