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North Dakota Workforce Safety & Insurance fax number

(888) 786-8695

Claims Division

Used for: Submit workers' compensation related forms and injury reports to Workforce Safety & Insurance (WSI) in North Dakota, e.g., the First Report of Injury.

Fax destination details

Department
Claims Division
Purpose
Submit workers' compensation related forms and injury reports to Workforce Safety & Insurance (WSI) in North Dakota, e.g., the First Report of Injury.
Form
SFN 2828 (First Report of Injury) — First Report of Injury
Address
1600 E Century Ave, Ste 1, Bismarck, ND 58503-0644
Voice phone
800-777-5033

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete SFN 2828 and fax to WSI using the toll-free line; submit to the WSI Claims Division as instructed on the form.

Review official form instructions

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