DOL - Employees

What you need to File a workers' compensation claim

To file a workers' compensation claim with the Department of Industrial Accidents (DIA) you will need to know:

  • Your date of injury, illness, or death if a dependent is filing for benefits
  • The 1st calendar day of work you missed
  • The 5th calendar day of work you missed
  • The workers’ compensation insurance carrier
  • The body parts and types of injuries
  • What type of benefits you are looking for
  • How long you may be out, if known
  • Where you first went for treatment
  • Your current treating doctor