Workers’ Compensation Claim Kit – Hawaii

Who will handle your claims?
Hawaii claims are handled by:

733 Bishop Street, Suite 2200
Honolulu, HI 96813

Phone (808)537-5221
Cory Okamoto, Manager

How to Report Workers’ Compensation Claims?

To report via the Internet: Log on to the Crum & Forster website at 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:
To report via fax: 1-877-622-6144
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 Hawaii Forms:

WC-101 – Hawaii Workers’ Compensation Law (Highlights)
Each employer shall furnish within three working days of notice of injury to each injured employee a copy of the Hawaii WC Highlights brochure.

WC-101 Highlights of the Hawaii WC Law

WC-1 – Employer’s Report of Industrial Injury
Every work injury to an employee causing absence for one day or more or which requires medical services other than first aid treatment must be reported within 7 working days after the injury. Be sure to give the employee a copy of this completed form.

Hawaii-FROI WC-1 2016

What is the Waiting Period for Lost Wages in Hawaii?
The waiting period is 3 days, which means the injured employee does not receive workers’ compensation benefits for the first 3 days he/she is off work.

What is the Choice of Physician Rules in Hawaii?
The employee chooses the treating provider.

Important Websites:
Hawaii Disability Compensation Division (Department of Labor & Industrial Relations)

Hawaii WC Forms-

Multi-State Information –