It’s fast, easy and convenient and allows for 24/7 claims reporting.
Receive a confirmation number after submission.
REPORT BY PHONE: (800) 825-9489
Please have your policy number and name of insured/policyholder as named on the policy.
Please have the following claimant information:
Full name, age, date of birth, social security number
Date/hours of employment and wages
Date, time and location of injury
Home address and phone number
REPORT BY E-MAIL: newclaim@ameritrustgroup.com
Email your completed State Workers’ Compensation First Report of Injury form.
Download Claim Forms by State
In order to email or fax your claim, you will need a state has a special form. In order to access those, click the link above.