Accident Report

Online: Through the secure online form below

On the phone: 8:00 am - 5:30 pm, Monday - Friday at 1-800-393-0815

or 727-799-1229, ext. 4700

After hours, weekends or holidays: 1-888-443-3699

Accident Report Form - English

Accident Report Form - Spanish

Fax to 727-725-7656

Email to wcclaims@frankcrum.com

Timely claims reporting is one of the most important aspects of controlling workers’ compensation costs. It helps get injured employees the medical care they require to return to work. Your employees will receive timely benefits and you will avoid any fines and/or penalties imposed because of late reporting.