Below are many of the common claim forms you will need when filing a claim in Pennsylvania and Delaware.
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Welcome kit |
Welcome letter for employers entering the Oryx Insurance construction program. Kit includes welcome letter, contact listing and information on our loss control services. |
General use |
Contact Listing |
State specific claim contacts |
Use as directed |
LIBC-344 REV 1-01 |
Pennsylvania Employer’s Report of Occupational Injury or Disease |
Whenever an injury occurs |
DOC. NO. #60-07-01-90-10-04 |
Delaware Employer’s Report of Occupational Injury or Disease |
Whenever an injury occurs |
Pharmacy Benefits |
Information on the injured employee's pharmacy benefits for all medications associated with his/her work-related injury. |
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