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Report an Injury

With 24/7 injury reporting, Chesapeake Employers makes it easy.

Report an Injury Online or by Phone

With Chesapeake Employers, you can report any workplace injury online, or by calling our Injury Reporting Hotline at 1-888-410-1400.

In order to handle the situation as efficiently as possible, make sure to establish early intervention in a claim to ensure the best medical care for the employee. Also, prompt and early reporting of an injury has been shown to help reduce the overall cost of a claim and could reduce the potential for unnecessary litigation down the line.

REMINDER: In the event of a catastrophic injury or fatality, after you call 911, please call the Chesapeake Employers' Injury Hotline promptly at  1-888-410-1400.

Video

How to Report a Workplace Injury

In the event that employees get injured at work or acquire a workplace illness, Chesapeake Employers' Insurance Company is here to help your injured employee receive fast and appropriate medical care and benefits. This video reviews the steps you, as a business owner, should follow to file a First Report of Injury.

Vea el video, “Cómo reportar una lesión en el lugar de trabajo”, en español aquí. En este video se detallan los pasos que usted, como propietario de una empresa, debe seguir para presentar un Informe Inicial de Lesiones, conocido como First Report of Injury.

Accidents happen. Be prepared beforehand with an injury reporting plan.

An injury reporting plan is a step-by-step guide explaining to your supervisors and employees what to do in the event of a workplace accident.

Helpful Resources

First Report of Injury Form

The ACORD 4 - First Report of Injury or Illness form should be filled out by the employer after a workplace accident occurs.

Accident Investigation Forms

These forms are used for obtaining an accurate account of the accident. These are fact-finding, not fault-finding.

Temporary Rx ID Form

Completing this form allows your injured employee to receive their first prescription filled for no out-of-pocket costs.

Guide for the Injured Worker

Basic overview of a workers’ compensation claim, including your benefits and responsibilities.

Catastrophic Injury Reporting

Although all injuries deserve professional investigation and file management, some catastrophic or very serious injuries need a different response. We have a Catastrophic Injury, or “CAT”, team to help you and your injured employee whenever these events occur and ask that you call us immediately at  1-888-410-1400, 24 hours a day, if something of this nature occurs. We are here to help, but we can't begin until we are notified.

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