You may elect to submit a claim to AmFed any of the following ways:

On-line – Click here to submit a Workers' Comp - Mississippi First Report of Injury Form.
On-line – Click here to submit a Workers' Comp - Michigan First Report of Injury Form.
On-line – Click here to submit a Workers' Comp - Tennessee First Report of Injury Form.
On-line – Click here to submit a Workers' Comp - Louisiana First Report of Injury Form.
On-line – Click here to submit a Workers' Comp - Alabama First Report of Injury Form.
On-line – Click here to submit a Workers' Comp - Arkansas First Report of Injury Form.

You may print this form after completion for your records.

Email – FROI@amfed.com
Fax – Send the completed First Report of Injury Form to: 601-427-1588
Phone – Contact us at 800-264-8085

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Since our philosophy is to always set expectations for our clients, you will hear from an adjuster within 2 business hours.