INCIDENT & CLAIMS REPORTING (Below)

Please fill the form to it's entirty if possible. A Claims Advocate will review and be in touch shortly.

Submitter Information

Incident Information

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Did the Employee miss work?

Attachments (C2, C3, Supervisor Form, Witness Forms, Photos, Voice Recording, Video, etc)

You can always submit documents by email, or in your Navigator Risk system later.






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