A First Report of Injury (FROI) must be filed by the employer/insurer with the Workers' Compensation Commission.  In accordance with COMAR 14.09.01.02 ' Commission Forms, the Commission only accepts the FROI form prepared by and issued by the Commission, form IA-1 (r 1-1-02).

At this time, please use a hardcopy WCC form SF1[ IA-1 (r 1-1-02)} and mail to us.
 
The fields: Type of Injury/Illness, Date of Death (if applicable) and Initial Treatment must be completed and are required by Maryland Occupational Safety and Health (MOSH), a unit of the Division of Labor & Industry. If these and all other required fields are not complete or on a form other than the Commission's, the FROI will be returned. Please see the complete list of acceptable WCIO Type of Injury/Illness codes

• Instructions for completing the Employer's First Report of Injury

• Type of Injury/Illness Codes (included on online form) to complete hardcopy forms.

• Check out our CompHub QuickStart guides and training videos.

• Technical questions about the online form? comphubsupport@wcc.state.md.us.

• Print and save the completed form after submission as prompted.  A copy should be sent to the employer's workers' compensation insurance carrier.