Welcome to First Report of Injury
The online First Report of Injury service is a quick, easy, and
confidential way for workers and employers to submit claim information in a step-by-step process.
It also allows Workforce Safety & Insurance
(WSI) to receive the claim information faster, which helps speed up
claim processing.
After completing the online First Report of Injury
process, you will receive claim number information and immediate, online
confirmation that your claim was successfully submitted. We encourage you to print
the form you submitted through this online process for your records.
When WSI receives the First Report of Injury information, two letters of
notification will be sent to the worker and employer:
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Letter 1: Will be sent as confirmation when the claim was registered
at WSI. It lists the name of the claim adjuster and the claim number.
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Letter 2: Will be sent once a decision has been made on the claim
(according to the North Dakota laws governing workers' compensation).
Please note that the online First Report of Injury is available 24 hours a day, seven
days a week, and holidays.
Instructions
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Complete only the sections that are appropriate for you, as indicated in the
FAQs
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All sections are clearly labeled.
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Each section contains some required fields that are indicated by a red asterisk (*).
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All required fields must be answered for each section that you complete before
you proceed to the next section.
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Once you have completed each of the appropriate sections, click the "Next" button
at the bottom of the page to continue.
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To start the First Report of Injury process, click the "Next" button below.
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