Workers’ Compensation Claim Kit – Missouri

Who will handle your claims?
The Milwaukee Regional Claim Office will handle your Missouri claims.

Phone: 800-242-4566
Jeanine Ramstack, AVP

Please direct all general correspondence to:

Fax:        877-622-6911
Mail:      PO Box 14139, Lexington, KY  40512

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?

WC-1-EDI – Employer’s First Report of Injury (This is to be filed with the insurance company at the initial reporting of the accident):
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.

Missouri FROI(2.16)

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

What is the Choice of Physician Rules in Missouri?
Employer/Insurance Carrier directs medical care. Employee may request referral or 2nd opinion of Insurance carrier. Employee may seek treatment on their own if desired, with understanding they are responsible for medical costs that are incurred.

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:

Missouri Workers’ Compensation Website

Missouri WC Forms

Multi-State Information-