Workers’ Compensation CLAIM KIT – District of Columbia

Who will handle your claims?

The New Jersey Regional Claim Office will handle your District of Columbia claims:

305 Madison Ave.
P.O. Box 1973
Morristown, NJ 07962

Phone: (888) 890-1500
Diane Parrish, Regional Director

How to Report Workers’ Compensation Claims?

To report via the Internet: Log on to the Crum & Forster website at https://cfconnect.cfins.com. Use your assigned User ID and Password. If you do not have a current User ID, please contact your local Crum & Forster Claims or Marketing resource.

To report via e-mail:                                     [email protected]
To report via fax:                                            1-877-622-6218
To report claims via telephone:                 1-800-690-5520

(7 day/24 hour toll free reporting line for all states)

  • In the event of a serious or fatal injury, notify the local claim office immediately by telephone.

What forms and pamphlets does the employer need to be aware of?

District of Columbia Notice of Compliance
This notice is to be posted conspicuously in and about employer’s place(s) of business.

DC Notice of Compliance

Employer’s First Report of Injury
If you report the claim via the Internet or by telephone, you do not need to fill out this form. If you report the claim via fax, complete this form, and fax it to Crum&Forster at the fax number provided above.

DC FROI

Employees Rights and Notice of Accidental Injury

DC-Employees_Rights_Obligations-7.6.12
DC OWC 7

Statement of Wages:
File this form with the carrier, claimant, and claimant’s representative when the claimant is losing time from work.

DC Wage Schedule

What is the Waiting Period for Lost Wages in the District of Columbia?
The waiting period is 3 days. If the employee is off for more than 14 days, the first 3 days are paid retroactively.

What are the Choice of Physician Rules in the District of Columbia?
Provider Selection
The employee may select any licensed treating provider.

Managed Care Options
Employers and insurers are permitted to provide managed care type services including case management and utilization review. The employee still maintains choice of provider.

Preferred Provider Organization Network (PPO):
Crum & Forster has a PPO network available. Follow the instructions below to access the PPO Network:

Logon to the website at:   www.talispoint.com/conduent/cfi

  • Search by Provider Address, Name or Region
  • Select the Distance, Provider Type and Specialty
  • Results can then be exported to a directory or excel.
  • You can obtain a Map List or text message by selecting a specific provider

Where should all medical bills be sent?

Crum & Forster
PO Box 14801
Lexington, KY 40512

Important Websites:

District of Columbia Government Office of Workers’ Compensation:
http://does.dc.gov/page/workers-compensation-does

Multi-State Information: http://www.workerscompensation.com/