Below are many of the common claim forms you will need when filing a claim in Pennsylvania and Delaware.
Welcome letter for employers entering the Oryx Insurance construction program. Kit includes welcome letter, contact listing and information on our loss control services.
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
Information on the injured employee's pharmacy benefits for all medications associated with his/her work-related injury.