Pennsylvania and Delaware Claims Detail
Below are many of the common claim forms you will need when filing a claim in Pennsylvania and Delaware.
Employer Claim Information and Forms
| Document | What It Is | When To Use/File |
|---|---|---|
|
Welcome letter for employers entering the Oryx Insurance construction program. Kit includes welcome letter, contact listing and information on our loss control services. |
General use |
|
|
State specific claim contacts |
Use as directed |
|
|
Pennsylvania Employer’s Report of Occupational Injury or Disease |
Whenever an injury occurs |
|
|
Delaware Employer’s Report of Occupational Injury or Disease |
Whenever an injury occurs |
|
|
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
