File A Claim

To better assist you, please contact our agency during regular business hours. (586) 979-1330

Monday, Tuesday, Thursday and Friday 8:00 a.m. - 4:30 p.m.

Wednesday 8:00 a.m. - 4:00 p.m.

Saturday and Sunday Closed

If you are reporting a Worker's Compensation Claim for the first time, please report directly to the insurance carrier.

Form 100 link:

 

Accident Fund Insurance Company of America

Report A Worker's Compensation Claim
Phone: (866) 206-5851
Fax Form 100: (866) 814-5595
Email Form 100: [email protected]

 
 

Citizens Insurance Co-The Hanover Insurance Group, Inc.

http://www.hanover.com/thg/tools/report.htm
Phone: (800) 628-0250
Fax Form 100: (800) 762-7788
Online: www.hanover.com Choose Claims Service at the top of the page, then choose Worker's Compensation under Report a Claim
E-Mail: completed First Report of Injury to [email protected]

 
 

Hastings Mutual Insurance Company

Can not report a claim on-line complete Form 100:
Fax Form 100: (877) 520-0562
E-Mail Form 100: [email protected]

 
 

Manufacturing Technology Mutual Insurance Co.

http://www.mtmic.com/workers-comp.html
Fax Form 100: (248) 488-1980
E-Mail Form 100: cla[email protected]

 
 

Michigan Millers Mutual Insurance Co.

Can not report a claim on-line complete Form 100:
Fax Form 100: (517) 371-7733
E-Mail Form 100: [email protected]