Employers

Report An Injury icon-pencil

Please report all injuries within 24 hours. To ensure efficient care, HEMIC requires reporting within 24 hours.

To file a claim, login into your Employer Account. Click the “Report Injury/WC-1″ button. This is the fastest and most secure way to file a WC-1 and transmit a claim. It is received immediately by our team.

You can also:

  • Email the WC-1 to claiminfo@hemic.com.
  • Fax the WC-1 to 808-522-5855 for immediate assignment, then mail the original for processing.
  • Mail the WC-1 form to P.O. Box 3376, Honolulu, HI 96801
Island of Oahu:
  • Phone: (808) 524-3642
  • Fax: (808) 522-5855
Neighbor Islands:
  • Toll Free: (888) 292-3642
  • Toll Free Fax: (888) 686-5510
Mailing Address:
       HEMIC
       P.O. BOX 3376
       Honolulu, HI 96801
Street Address:
       HEMIC
       1100 Alakea Street, Suite 1400
       Honolulu, HI 96813

 

Need a WC-1?
Fill out this WC-1 Form online and print it out. This form is an Adobe Acrobat .PDF. If you have an early version of Acrobat, you may need to print first and complete the form by hand. If you need help with the form, download these WC-1 Instructions .

 

Collectively Bargained Workers’ Compensation Program (CBWCP) Members
Fill out this WC-1 Form online and print it out. If you have an early version of Acrobat, you may need to print first and complete the form by hand.
Adobe Acrobat Reader is required to view PDF files. Get it here free. get_adobe_reader