You are here:   Patriot Claims Center

• Medical and disability benefits are payable as determined by state laws.
  
  
• Check with your agent or claim representative for complete details.
  

Select your carrier below to find our Claim Centers and their contact and electronic submission information.

1. Select the State in which the injury occurred by clicking on the map below.
   
   
2. Enter information directly into the First Report Of Injury (FROI) form.
   
   
3. Once you’ve completed the information save the document, either by clicking the Save icon or selecting File on the menu and Save As to name the file as you wish. 
 

4. Once you’ve saved the form, attach the document and email it to the appropriate carrier email address located in the drop down.