Our staff is focused on the rules and regulations that govern claims to affect the most beneficial outcome for both the injured worker and the employer. Our primary emphasis is helping injured workers recover from their injuries so they can return to their employment when it is medically safe.

_________________________________________________________________________________________

TEXAS INSTRUCTIONS

Employer’s First Report of Injury – Texas

Prompt loss reporting is vital to the claims handling process.  Our efforts to provide top quality claim service depend heavily upon notification of the loss.  The sooner our staff has your claim, the sooner our staff can swing into action.

To file a new claim, please follow these Instructions:

  • Review and complete DWC FORM-001 following the instructions provided – Click Here
  • Download and save the completed form to your computer
  • Send the completed form to: [email protected]

For information on existing claims:

  • Please call the Service Lloyds Claims Department at (512) 637-3104, option 1, or email [email protected].

_____________________________________________________________________________________

STATE OTHER THAN TEXAS INSTRUCTIONS

Employer’s First Report of Injury – Other than Texas

Prompt loss reporting is vital to the claims handling process.  Our efforts to provide top quality claim service depend heavily upon notification of the loss.  The sooner our staff has your claim, the sooner our staff can swing into action.

To file a new claim, please select from the following options: