Report a Claim
Prompt and accurate benefits are owed to an injured employee once their claim is determined to be compensable. You must report work-related accidents immediately to ensure proper delivery of benefits. Delay in these benefits may expose both you and LUBA to penalties and attorney fees.
1. Report of injury by telephone
This is the most preferred way to report a new claim. Call (888) 884-5822 or (225) 389-5822 and you will be connected to our intake specialist who gathers claim information.
We will put the information into our computer system and once completed, your new claim will go to the proper claims handler. This relieves you of the paperwork associated with reporting a new claim. We will complete all necessary forms and handle filings with the Office of Workers’ Compensation.
Information you will need when reporting the claim by phone includes:
- Employee name, Social Security number, date of birth and any other information regarding your employee
- Date and facts of the accident
- Description of the injury or illness
- Details of any medical treatment that may have already taken place
2. Report of injury by e-mail
Choose the appropriate state below, complete the form, save and email us at FROI@lubawc.com. We will complete all necessary forms and handle the filings with the Office of Workers’ Compensation or respective commission.
*NOTE: IF NO RETURN TO WORK DATE IS LISTED THE CLAIM WILL BE CONSIDERED A LOST TIME CLAIM
- Louisiana First Report of Injury
- Louisiana Instructions for Completing
- Arkansas First Report of Injury
- Arkansas Instructions for Completing
- Mississippi First Report of Injury
- Mississippi Instructions for Completing
3. Report of injury by fax or mail
You may also complete an employer report of injury/illness by fax. Choose the appropriate state above, complete the form and fax the report to (225) 389-9300, Attn: Claims Intake. We complete all necessary forms and handle the filings with the Office of Workers’ Compensation or respective Commission.
If phone or fax is unavailable, you can print and complete the employer report and mail to:
LUBA Workers’ Comp
Attn. Claims Intake
P.O. Box 98082
Baton Rouge LA 70898-9082
Timely reporting allows us to conduct a prompt investigation. Prompt reporting also enables us to control the claim from the beginning, which often saves employers’ money. Once our investigation is complete, we pay the claims we owe and defend the claims not owed under workers’ compensation. Timely reporting of every work-related accident saves you money!
Penalties for Late Reporting of Claims
Louisiana
Arkansas
Mississippi
If you have any questions, please contact us at (888) 884-5822 or (225) 389-5822.
PLEASE REMEMBER THAT PROMPT REPORTING IS THE KEY TO PROPER HANLDING OF YOUR WORKERS’ COMPENSATION CLAIM. THANK YOU FOR YOUR COOPERATION!






