Workers’ Compensation Claim Kit – Maryland

Who will handle your claims?
The New Jersey Regional Claim Office will handle your Maryland claims, located at:

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

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

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 e-mail:
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?

MD_WC Claim Process

MD_WC Q&A_Version 2007

Employer’s First Report of Injury & Wage Statement
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.

Fillable MD FROI

MD-Wage Statement

How does an employee file a claim?
An employee has the responsibility of filing an Employee’s Claim with the Workers’ Compensation Commission. These forms are available free of cost from the Commission and the employer shall have them available for their employees at all times. The Employee Claim Form is also available on-line.

What is the Waiting Period for Lost Wages in Maryland?
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 Maryland?

Provider Selection
The employee can choose a treating provider.

Managed Care Options
Employers/insurers may provide managed care services that do not interfere with the employee’s choice of physician.

Provider Lists
Crum & Forster has a PPO network available. Follow the instructions below to access the PPO Network:

Logon to the website at:

  • 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

Maryland Workers’ Compensation Commission:

Multi-State Information: