Laserfiche WebLink
Immediately Report All Work-Related Injuries Through Hartford LossConnect <br />1)Get the facts regarding the injury. <br />2)Obtain employee personnel file, whenever possible. <br />3)Gather information listed below to expedite your call. <br />4)Call 24 hours a day, 365 days a year at 1-877-383-7022. <br />What Information To Gather Before Placing Your Call <br />DuringyourHartfordLossConnectcall,youwillbeaskedquestionssimilartothoseontheFirstReportofInjury,suchas <br />thoselistedbelow.Themoreinformationyouhaveathand,thelesstimethecallwilltakeandthelessneedforfollow-up. <br />Phone reports take only 10 minutes, and speed the information to open the claim. <br />Employer <br />Account Number or Company Tax ID Number <br />Location Code or Policy Number <br />Injured WorkerInjury <br />Name And Address of the WorkerWhen/Where/How Injury Occurred <br />Social Security NumberType of Injury (cut, burn, etc.) <br />Age/Sex/Marital StatusExact Part of Body Injured <br />Number of DependentsNames of Witnesses <br />Date of Hire/Years in Current PositionName/Address of Physician/Hospital <br />Wage InformationAnticipated Return to Work Date <br />How Hartford LossConnect Will Speed the Process <br />oGathersallnecessaryinformationoverthephone-eliminating <br />the need for you to complete and submit any claim forms. <br />oTriggersanyrequiredFirstReportofInjurynoticeaccordingto <br />state guidelines. <br />oForwardsFirstReportofInjurytothestate,yourcompany,and <br />the appropriate Hartford Claim Office. <br />WC 66 03 09 C Printed in U.S.A. <br /> <br />