Worker's Compensation Process and Forms

For any workplace injury, call the
Nurse Care Line at 1-844-847-8708

Complete mandatory forms below.
E-mail forms to
Amy Alexander/Work Comp Coordinator 651-423-8229

 Accident-Injury Reporting Instructions

 Mandatory 24 hrs Information and Privacy Statement  
 First Report of Injury form
 United Heartland Billing Address
 MN Dept of Labor & Industry Info Sheet

 BBP Post Exposure Incident Packet