Workers’ Compensation Claim Kit – Mississippi

Who will handle your claims?
The Orlando Claim Office will handle your Mississippi claims, located at:

1035 Greenwood Blvd.
Suite 265
Lake Mary, FL 32795

Phone: 800-423-3060
Rose Powell, Manager
Mike Rumberger, 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 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 are the Reporting Requirements? What forms does the employer need to be aware of?

IAIABC IA-1 MWCC – Workers’ Compensation – First Report of Injury or Illness: If you report the claim via the Internet or Telephone, this form does not need to be completed. If you report the claim via Fax, complete the form, and Fax it to C&F at the Fax number provided above.

MS-First Report of Injury Form

MS-First Report Instruction

What is the Waiting Period for Lost Wages in Mississippi?
The waiting period for lost wages in Mississippi is 5 days. If the injured worker is off for more than 14 days, the first 5 days are paid retroactively.

What is the Choice of Physician Rules in Mississippi?
An injured worker can select any doctor for the initial treatment. The employer should have available a “Choice of Physician Form” and should have the injured worker sign the form and list the name of the doctor they are selecting as the authorized treating doctor.

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:

  • 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

Mississippi Workers’ Compensation Commission-

Multi-State Information-