Claims Reporting
See below for claims reporting forms of our parent agencies and other forms required state-wide.
AMIC Claim Forms
AMIC Claim Forms can be found HERE
The forms available are as follows:
- Equipment Failure
- Notice of New Claim/Lawsuit
- Occurrence Reporting
MWCF Claim Forms
Statewide Claim Forms
Below are the forms that are required state-wide. Some of these may also be required for MWCF claims
- Workers Comp Carrier Poster
- First Report of Injury Form (FROI) pdf
- First Report of Injury Form (FROI) Word
- FROI Cause Codes Table
- FROI Nature Codes Table
- FROI Part Codes Table
These forms and more are also available from the Alabama Department of Industrial Relations - Workers' Compensation Documents page