Report An Injury
In order to ensure your client’s claim is handled efficiently, HEMIC requires all injuries to be reported within 24 hours post accident.
The recommended way to file a claim is for your client to login to their WebSolutions account. Click the “Report Injury/WC-1″ button. This is the fastest and most secure way to transmit a claim and will be immediately received by our team.
Other methods to file a claim include:
EMAIL: Email the WC-1 to firstname.lastname@example.org.
FAX: Fax a copy of the original WC-1 Employer’s Report of Industrial Injury to 808-522-5855 for timely assignment, then mail the original signed and dated report to our office for processing.
MAIL: Print the WC-1 form and mail it to P.O. Box 3376, Honolulu, HI 96801
PLEASE REPORT ALL INJURIES WITHIN 24 HOURS
Need a WC-1?
Fill out this WC-1 Form and print it out. (With earlier versions of Acrobat you may have to print out first, then complete the form.) Fax or mail it to HEMIC. If you need help with the form, download these WC-1 Instructions for filling out and filing a WC-1.
For CBWCP (Collectively Bargained Workers’ Compensation Program) members
Fill out this WC-1 Form online and print it out. (With earlier versions of Acrobat you may have to print out first, then complete the form.) Fax or mail it to HEMIC.