Employer’s First Report of Injury Form

Our staff is focused on the rules and regulations that govern claims to affect the most beneficial outcome for both the injured worker and the employer. Our primary emphasis is helping injured workers recover from their injuries so they can return to their employment when it is medically safe.

Instructions:

  • Review and complete DWC FORM-001 following the instructions provided – Click Here
  • Download and save the completed form to your computer
  • Send the completed form to: claims@servicelloyds.com