Patriot Risk Services along with our workers' compensation carrier partners are dedicated to resolving claims in an efficient and timely manner.  

To serve you better, Patriot Risk Services can accept claims by phone, fax or email.  

Click here for a complete list of Regional Claims Offices and Contact Guide

Instructions: 

SELECT.  Select the state in which the claim occurred.  Enter information directly into the specific state First Report Of Injury (FROI) form.

SAVE.  Once you’ve completed the information save the document, either by clicking the “save icon” or selecting File on the menu then “save as”

SEND.  Once you’ve saved the form. Attach it to your email and send.

 Important:  Some versions of Adobe Acrobat may display a general “submit” button.  This button only appears on some versions and is not programmed for these forms.  Please follow the instructions above to ensure your workers’ compensation FROI form is received and processed.  If you have any questions, please call 866.993.0239