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First Report of Injury
     
     
     
     
     
     
     
     
     
     
     
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First Report of Injury

CSG provides 24/7 First Report of Injury Claim in-take via web referral, fax or phone. Additionally, we are able to provide EDI filing of all state forms.

To submit a claim, you may use the following form.

Alternatively, you may complete the following claim form, print, and fax to 609-631-7736.

To report an injury telephonically, you may use the following number:

1-800-293-9795