Workers Compensation Claim kit – Oklahoma

Who will handle your claims?
The Dallas Regional Claim Office will handle your Oklahoma claims, located at:

2400 Lakeside Boulevard
Suite 200
Richardson, TX 75082

Phone (800)527-5531
Mike Hicks, 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 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 does the employer need to be aware of?

Click on this link for the Oklahoma Forms-http://www.owcc.state.ok.us/court_forms.htm

Form 1A / Oklahoma Workers’ Compensation Notice and Instruction to Employers and Employees
Review the instructions and prominently display the notice where each employee is likely to see the notice on a regular basis. The Oklahoma posting notices are available on the Crum & Forster website: http://www.cfins.com/claims/workers-compensation-claims/

Form 2 / Employers’ First Notice of Injury
If you report the claim via telephone, or the internet, you do not need to fill out this form.
If you report the claim via fax, or email, complete this form, and send it to Crum & Forster at the fax number or email provided above.
See additional instructions at the bottom of the form.

OK-Form2-2.16

Form 3 / Employee’s First Notice of Accidental Injury and Claim for Compensation
You do not need to file this form. However, if you receive a completed Form 3, send it to the Crum & Forster claim office as soon as possible. We have a limited time frame in which we are required to have our attorney respond to the Oklahoma W/C Court.

OK-Form 3-rev 2.16

What is the Waiting Period for Lost Wages in Oklahoma?
The waiting period is 7 days. If the employee is off for more than 21 days, the first 7 days are paid retroactively.

What is the Choice of Physician Rule in Oklahoma?
The employer selects the treating physician.

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

Oklahoma Workers’ Compensation Court – http://www.owcc.state.ok.us/

Oklahoma W/C Forms – http://www.owcc.state.ok.us/court_forms.htm

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