Report an Injury

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Employers, remember to report all claims within 24 hours.
Even if you don’t have all of the information, reporting a claim the day of the incident helps reduce claim costs.

What information is needed?
View Information Needed When Reporting here.

Quick Online Reporting

  • 1. Login to your policyholder account.
    Missing login information? Email Customer Support or call 800-226-0666.
  • 2. Select the “Report a Claim” tab, complete the online reporting form with the required employee and injury information and submit. You will receive an email confirmation with the assigned claim number.
  • Our claim process begins immediately after we receive a notice of injury. Within 24 hours, a designated claims adjuster will contact the employer, injured worker, and medical provider to determine the extent of the injury and establish claim reserves.

    Updates to OSHA’s Recordkeeping Rule:
    Reporting Fatalities and Severe Injuries

    What am I required to report under the new rule?

    Employers now must call OSHA’s 24-hour hotline at 1-800-321-OSHA (6742) to report the following work-related incidents:
    • Fatalities (within 8 hours)
    • Inpatient hospitalizations of one or more employees (within 24 hours)
    • Amputations (within 24 hours)
    • Losses of an eye (within 24 hours)

    Click here to learn more.

    Ways to Report a Claim to FFVA Mutual

    report-phone

    Phone:
    800-226-0666

    report-fax

    Fax:
    321-214-0235 or 321-214-0234


    report-injury-orange-iconWays to Report an Injury Poster