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How to file a First Report of Injury with ease

October 1, 2015
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What is a First Report of Injury?
A First Report of Injury (FROI) is the form that the employer completes and sends to Pinnacol to notify us of an injury.

Who reports a FROI?
It depends on the protocol at your organization, but it must be someone in a supervisory role. The injured worker should not file the FROI.

When should I report the injury?
We recommend filing the FROI within 24 hours so we can help facilitate treatment, investigation and provide timely benefits. The Division of Worker’s Compensation requires that the employer report the injury within 10 days of being notified.

What information do I need to report a FROI?
If you can’t get a hold of all the information right away, don’t hesitate to call us to get started on the FROI. Some information is critical, but there’s also information that can be obtained after filing.

Information that’s required when you file:

  • Employer’s policy number
  • Injured worker’s name
  • Date of injury
  • Occupation
  • Injury description
  • Injured body part(s)

Information that can be obtained after filing:

  • Injured worker's contact information
  • Injured worker's marital status
  • Location
  • Employee status (i.e., full-time, part-time)
  • Wage information
  • Time of injury
  • Last day worked
  • Witness information
  • Medical provider information
  • Return-to-work information

How do I file an FROI?

  • Use the Web. Just click “Report an Injury” in the main navigation of under Claims.
  • Call us at 303.361.4000 or toll-free at 800.873.7242
  • Fax us a completed FROI to 303.361.5000 or toll-free at 888.329.2251

Are you unsure whether you need to report an injury? Find out in last month's issue of Focus.

Pinnacol Assurance assumes no responsibility for management or control of customer safety activities. Please ensure your business meets the requirements of all federal, state, and local laws, regulations, or ordinances related to workplace safety.

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