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West Bend Insurance Company fax number

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All States Workers' Compensation Claims Department

Used for: Submit the Employer's First Report of Injury (loss report) for workers' compensation to West Bend's All States Workers' Compensation Claims Department, typically via fax.

Fax destination details

Department
All States Workers' Compensation Claims Department
Purpose
Submit the Employer's First Report of Injury (loss report) for workers' compensation to West Bend's All States Workers' Compensation Claims Department, typically via fax.
Form
WB 373 C 04 07 — WB 373 C 04 07 Employer's First Report of Injury (West Bend Mutual Insurance Company / West Bend Insurance Company)
Address
West Bend Insurance Company, 1900 S. 18th Avenue, West Bend, WI 53095
Voice phone
877-922-5246

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  • Check the organization website or call its main line for the current fax number.
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Mail, fax, call, or e-mail the initial loss report immediately after injury; include policy numbers; fax to 888-926-9299; e-mail to directconnect@wbmi.com.

Official form instructions are published as a downloadable file on the organization's website.

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