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WORKERS COMPENSATION CLAIMS KITS - STATE SPECIFIC

WORKERS COMPENSATION CLAIMS REPORTING

Welcome to Tower Group Companies’ Workers Compensation Claims Program. To access the proper claims reporting information for your state, please refer to your policy number prefix and state link below.

Click here for Workers Compensation Medical Management information.


WCC Policy Prefix and all other prefixes except WCN and WSL

If your business is located in one of the states listed below and the first three characters of your policy number contains anything except WCN and WSL, please use these forms to file your claim. If your state is not listed, please refer to the Claims Kit information included with your policy.

AlabamaAlaskaArizonaArkansasCalifornia
ColoradoConnecticutDelawareDist. of ColumbiaFlorida
GeorgiaHawaiiIdahoIllinoisIndiana
IowaKansasKentuckyLouisianaMaine
MarylandMassachusettsMichiganMinnesotaMississippi
MissouriMontanaNebraskaNevadaNew Hampshire
New JerseyNew MexicoNew YorkNorth CarolinaOklahoma
OregonPennsylvaniaRhode IslandSouth CarolinaSouth Dakota
TennesseeTexasUtahVermontVirginia
West VirginiaWisconsin

WCN Policy Prefix

If your business is located in one of the following states and the first three characters of your policy number are WCN, please use these forms to file your claim. If your state is not listed, please refer to the Claims Kit information included with your policy.

AlaskaArizonaArkansasCaliforniaColorado
GeorgiaIllinoisIdahoIndianaKansas
MissouriMontanaNebraskaNevadaNew Mexico
OklahomaOregonNew JerseyNew YorkPennsylvania
TennesseeTexasUtahWisconsin

WSL Policy Prefix

If your business is located in one of these states and the first three characters of your policy number are WSL, please use these forms to file your claim.

If your state is not listed, please email your request for a claims kit to [email protected]. Please include the policy number, contact name, phone number, states for which claims kits are needed and the mailing address.