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File a Claim:
How to report an on the job injury - Employer.
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1. Medical Treatment:
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Immediately refer injured worker to closest directed care medical clinic. Click here for a list of Providers. If injury is life or limb threatening call 911 and go immediately to the closest emergency facility.
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2. Report Work-related Injury: Choose from four ways to report injury:
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Internet: Use our secure, online version of the First Report of Injury form (122). You may access this form by clicking here: Submit a Claim.
Fax: Fax form 122 to (801) 747-7820
Phone: (801) 415-9679 or toll free (877) 612-6980
Mail:
Blue Star Claims Management
P.O. Box 575749
Murray, UT 84157-5749
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3. Contact your claims adjuster to discuss any questionable claims.
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4. Document the circumstances surrounding the injury:
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Conduct a thorough investigation.
Look at the accident site.
Determine why it happened.
Secure evidence/take photos.
Interview witnesses and obtain names
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Providers List
Submit a Claim
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