New Jersey Claims Information
Below are many of the common claim forms you will need when filing a claim in New Jersey. A complete list of all common New Jersey Workers’ Compensation forms may be found on New Jersey’s Department of Labor and Workforce Development website:
Employer Claim Information and Forms
| Welcome kit | Welcome letter for employers entering the Oryx Insurance construction program. Kit includes welcome letter, contact listing and information on our loss control services. | Whenever an injury occurs. |
| Contact Listing | State specific claim contacts | Use as directed |
| FORM IA-1(r 1-1-02) | Employer’s first report of injury. | ASAP after the injury occurs. |
| WC-373 (10/09) | An Employer’s Guide to Workers’ Compensation in New Jersey | General use |
| Pharmacy Benefits | Information on the injured employee’s pharmacy benefits for all medications associated with his/her work-related injury. |
Employer’s Responsibility for Filing a Claim
