Corporate Headquarters, Albuquerque, New Mexico

Submit a Claim

If you wish to report a Workers’ Compensation claim, do not report using the online form.  State statutes require that Workers’ Compensation claims be reported with a First Report of Injury.  To report a Workers’ Compensation claim, please select from the following state list to be directed to the applicable State’s First Report of Injury.  Complete the form and submit to or fax to 505.247.8540.

New Mexico     

For all other claims, you can start the process online by filling out the form below.

Presentar un formulario de reclamación

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