Workers' Compensation Administrators Directory
The International Association of Industrial
Accident Boards and Commissions (IAIABC) (http://www.iaiabc.org/)
also
maintains an excellent detailed list of workers' compensation agencies. The N.C.
Industrial Commission's list of United States
and Canadian workers' compensation agencies is a separate document. It
is updated daily, as we receive new information; and is probably the most complete and up-to-date
listing of its type available anywhere. The following list may be reprinted for
free as long as it contains this credit line: "This Workers' Compensation
Administrators Directory was compiled by Robert W. McDowell for the North Carolina
Industrial Commission, 4340 Mail Service Center, Raleigh, North Carolina
27699-4340."
If you are looking for details of State
Workers' Compensation Laws, the U.S. Department of Labor (http://www.dol.gov/)
provides them in HTML and PDF (Portable Document Format) versions. (Note:
You must download and install a free Adobe
Acrobat Reader to view and print PDF files.)
Robert W. McDowell
Webmaster
N.C.
Industrial Commission
This list was last updated on 3 July 2008. Please e-mail any
comments and corrections to:
mcdowelr@ind.commerce.state.nc.us
TABLE OF CONTENTS
FOR THIS PAGE
United States and D.C.:
U.S. Department
of Labor Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of
Columbia Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New
Hampshire New
Jersey New
Mexico New
York North
Carolina North
Dakota Ohio
Oklahoma
Oregon
Pennsylvania
Rhode
Island South
Carolina South
Dakota Tennessee
Texas
Utah
Vermont
Virginia
Washington
West
Virginia Wisconsin
Wyoming
Other U.S. Areas: American
Samoa Guam
Navajo
Nation Northern Mariana
Islands Puerto
Rico Virgin
Islands
Canada: Federal
Jurisdiction Alberta
British
Columbia Manitoba
New
Brunswick Newfoundland and
Labrador Northwest
Territories Nova
Scotia Ontario
Prince Edward
Island Québec
Saskatchewan
Yukon
Territory
United States and D.C.
U.S. Department of Labor
U.S. Department of Labor (DOL)—http://www.dol.gov/
200 Constitution Avenue NW
Washington,
District of Columbia 20210
Elaine L. Chao, Secretary, (202) 693-6000
Steven
J. Law,
Deputy Secretary, (202) 693-6000
Andrew
Siff,
Chief of Staff, (202) 693-6000
Ruth D. Knouse Executive Secretariat
Director, (202) 693-6100
Tina Henry, Director of Scheduling, (202)
693-6003
DOL's Employment Standards Administration
(ESA)—http://www.dol.gov/esa/
(202) 219-6692, Fax: (202)
219-8568
Joe N. Kennedy, Acting Assistant Secretary, (202) 693-0200
ESA's
Office of Workers'
Compensation Programs (OWCP)—http://www.dol.gov/esa/owcp_org.htm
(202) 219-6191
Shelby Hallmark, Director, (202) 693-0031
Diane Svenonius, Deputy Director, (202) 693-0031
Cecily Rayburn, Director, Division of Planning,
Policy, and Standards, (202) 693-0032
Michael Niss, Director, Longshore and Harbor
Workers' Compensation, (202) 693-0038
Contacts for
Longshore and Harbor Workers' Compensation—http://www.dol.gov/esa/owcp/dlhwc/lscontac.htm
Douglas C. Fitzgerald, Director, Federal Employees'
Compensation, (202) 693-0040
Contacts for
Federal Employees' Compensation—http://www.dol.gov/esa/contacts/owcp/fecacont.htm
James L. DeMarce, Director, Coal Mine
Workers' Compensation, (202) 693-0046
Contacts for
Coal Mine Workers' Compensation—http://www.dol.gov/esa/contacts/owcp/blcontac.htm
Peter M. Turcic, Director, Energy Employees
Occupational Illness Compensation, (202) 693-0856
Contacts for
Energy Employees Occupational Illness Compensation—http://www.dol.gov/esa/regs/compliance/owcp/eeoicp/law/JurisdictionMap.htm
OWCP Regional Directors
Northeast Region
(consists of New
York and Boston
district offices)
Jaye
Weisman, Regional
Director
201 Varick Street, Room 750
New York, New York 10014
(646)
264-3100
Boston
District Office
Michael J. Harvill, Deputy Regional Director
JFK Federal Building, Room E-260
Boston, Massachusetts 02203
(617) 624-6677
Philadelphia
Region
R. David Lotz, Regional Director
170 S. Independence Mall West, Suite 780
West
Philadelphia, Pennsylvania 19106-3313
(215) 861-5401, Fax: (215) 861-5400
Atlanta
Region (consists of Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South
Carolina, and Tennessee)
Richard Brettell,
Regional Director
214 North Hogan Street, Room 1026
Jacksonville,
Florida 32202
(904) 357-4777
Midwest
Region (consists of Chicago,
Cleveland, and
Kansas City district offices)
Nancy Jenson, Regional Director
230 South Dearborn Street, 8th Floor
Chicago,
Illinois 60604
(312) 596-7131
Cleveland
District Office
Robert Sullivan, District Director
1240 East Ninth Street, Room 851
Cleveland, OH 44199
(216) 357-5390
Kansas
City District
Office
Lois Maxwell, District Director
City Center Square Building, Suite 750
1100 Main Street
Kansas City, Missouri 64105
(816) 502-0344
Southwest
Region (consists of Dallas
and Denver district offices)
E. Martin Walker, Regional Director
Federal Building
525 South Griffin Street
Dallas, Texas 75202
(972) 850-2409
Denver
District
Office
Shirley Bridge, District Director
Street Address:
1999 Broadway, Suite 600
Denver, Colorado 80201
Mailing Address:
Post Office Box 46550
Denver, Colorado 80201-6550
(720) 264-3007, Fax: (720) 264-3046
Pacific
Region
(consists of the San Francisco and
Seattle district offices)
Ed Bounds, Regional Director
71 Stevenson Street, Second Floor
San Francisco, California 94105
(415) 848-6880
Seattle District
Office
Marcus Tapia, District Director
1111 Third Avenue, Suite 650
Seattle, Washington 98101-3212
(206)398-8220
National
Operations Office
Patricia Greene, Acting District Director
800 North Capitol Street NW, Room 800
Washington,
District of Columbia 20211
(202) 513-6816
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page
Alabama
State of Alabama—http://www.al.gov/
Department of Industrial Relations—http://dir.alabama.gov/
Phyllis
Kennedy,
Director, (334) 242-8990, Fax: (334) 242-3960, Director@dir.state.al.us
Donald
K. Fisher, Assistant Director, (334) 242-8990,
Fax: (334) 242-3960, DFisher@dir.state.al.us
Workers' Compensation Division—http://dir.alabama.gov/wc/
Industrial
Relations Building
649 Monroe Street
Montgomery, Alabama 36131
(800) 528-5166, (334) 242-2868; Fax: (334) 353-8262 (Administrative/TPAs/Assessments/Self-Insurance),
(334) 353-8228 (Examiners/Ombudsman), (334) 353-0840 (Claims), (334) 353-8490 (Compliance/Drug Free/Medical/Education); Fraud: (800)
923-2533; Ombudsman: (800) 528-5166, (334) 242-2868 (in Montgomery area)
Scottie
Spates, Director, Administrative Section, (800) 528-5166, (334)
353-0990, Fax: (334) 353-8262, WC@dir.state.al.us
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page
Alaska
State of Alaska—http://www.state.ak.us/
Department of
Labor and Workforce Development—http://www.labor.state.ak.us/home.htm
Workers' Compensation Division—http://www.labor.state.ak.us/wc/wc.htm
Post Office Box 25512
Juneau, Alaska 99802-5512
(907) 465-2790; Fax: (907)
465-2797
Paul L. Grossi, Director,
(907) 465-6046, Fax: (907) 465-2797, Paul_Grossi@labor.state.ak.us
Mark R. Torgerson, Chief of Adjudications,
(907) 269-4982, mark_torgerson@labor.state.ak.us
Workers'
Compensation Board—http://www.gov.state.ak.us/boards/factsheet/fact110.html
Department
of Labor
Post Office Box 25512
M/S 0700
Juneau, Alaska 99802-5512
(907) 465-2790, Fax: (907) 465-2797
Commissioner of Labor Ed Flanagan,
Chairman Commissioner_Labor@labor.state.ak.us
John A. Abshire, At Large/Labor
Valerie K. Baffone, 3rd Judicial
District/Labor
Dorothy Bradshaw, 2nd/4th
Judicial District/Industry
John Giuchici,
2nd/4th Judicial District/Labor
Paul Grossi,
Commissioner of Labor or his designee
Steve
Hagedorn, 3rd Judicial District/Industry
Harriet M. Lawlor, 3rd Judicial
District/Labor
Andrew J. Piekarski, 3rd
Judicial District/Labor
Nancy Jo Ridgley, 1st
Judicial District/Labor
Florence S. Rooney,
3rd Judicial District/Industry
Marc D. Stemp,
At Large/Industry
Philip E. Ulmer, 3rd
Judicial District/Industry
James G. Williams,
1st Judicial District/Industry
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page
Arizona
State of Arizona—http://www.state.az.us/
Industrial Commission of Arizona—http://www.ica.state.az.us/
800 West Washington
Phoenix, Arizona
85007
or
Post Office Box 19070
Phoenix,
Arizona 85005-9070
(602) 542-4411, Fax: (602) 542-7889;
Ombudsman: (602) 542-4538, Fax: (602) 542-4350
Gay Conrad Kruglick, Chairman
Mike Petchel, Vice Chairman
Jean-Pierre Angelchick, M.D., Commissioner
Sandy Grunow, Commissioner
Lou Rodriguez, Commissioner
Larry J. Etchechury, Director
Teresa Hilton, Secretary
Click here to download free fillable PDF (Portable Document
Format) versions of Arizona workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Industrial Commission Review Board
State Compensation Fund—http://www.statefund.com/
3031 North Second Street
Phoenix,
Arizona 85012
(602) 631-2000; Fax: (602) 631-2213
Donald A. Smith, Jr., President and
CEO
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page
Arkansas
State of Arkansas—http://www.state.ar.us/
Workers' Compensation Commission—http://www.awcc.state.ar.us/
Street
Address:
324 Spring Street
Little Rock, Arkansas 72203
Mailing Address:
Post Office
Box 950
Little Rock, Arkansas 72203-0950
(800) 622-4472, (501)
682-3930; Fax: (501) 682-2777; Legal Advisor Direct: (800)
250-2511; TDD: (800) 285-1131
Arkansas Relay System TDD: (800)
285-1131
Olan W. "Butch" Reeves,
Chairman,
breeves@awcc.state.ar.us
Karen H. McKinney, Commissioner,
kmckinney@awcc.state.ar.us
Shelby W. "Terry" Turner, Commissioner,
tturner@awcc.state.ar.us
Alan McClain, Chief Executive
Officer, amcclain@awcc.state.ar.us
James W. Daniel, Assistant Chief Executive
Officer, jdaniel@awcc.state.ar.us
David Greenbaum, Chief Administrative Law Judge,
dgreenbaum@awcc.state.ar.us
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page
California
State of California—http://www.ca.gov/
Department of
Industrial Relations—http://www.dir.ca.gov/
John
Duncan, Director
Commission on Health and Safety
and Workers' Compensation (CHSWC)—http://www.dir.ca.gov/chswc/chswc.html
1515 Clay Street, Room 901
Oakland, California 94612
(510) 622-3959, Fax: (510) 622-3265
E-mail: chswc@hq.dir.ca.gov
Chairman
Angie
Wei, Labor Representative
Commission
Members: http://www.dir.ca.gov/chswc/Members.htm
Catherine
"Cathy" Aguilar,
Employer Representative
Allen
Davenport, Labor Representative
Sean
McNally, Employer Representative
Kristen
Schwenkmeyer, Employer Representative
Robert
B. Steinberg, Employer Representative
Darrel
"Shorty" Thacker, Labor Representative
Christine Baker,
Executive Officer,
(510) 622-3959, Fax: (510) 622-3265
Division of Workers'
Compensation (DWC)—http://www.dir.ca.gov/dwc/dwc_home_page.htm
Street Address:
1515 Clay Street, 17th Floor
Oakland, California 94612
Mailing Address:
Post Office Box 420603
San Francisco,
California 94142
(800) 736-7401, (510) 286-7100
E-mail: dwc@dir.ca.gov
Carrie
Nevans, Administrative Director
Keven Star, Court Administrator
Click here to download free fillable PDF (Portable Document
Format) versions of California workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Division
of Workers' Compensation Medical Unit—http://www.dir.ca.gov/dwc/MedicalUnit/imchp.html
Street Address:
1515 Clay Street, 18th Floor
Oakland, California 94612
Mailing Address:
Post Office Box 71010
San Francisco,
California 94142
(800) 794-6900 (in
California), (510) 286-3700, Complaint Line: (800) 999-1041
Anne
Searcy, MD, Executive Medical Director
Workers' Compensation Appeals
Board (WCAB)—http://www.dir.ca.gov/WCAB/
Street
Address:
455 Golden
Gate Avenue, Suite 9328
San Francisco, California 94102-3660
Mailing Address:
Post Office Box 429459
San Francisco,
California 94142-9459
Information and Assistance Division: (800)
736-7401, (415) 703-5020
Commissioners
Joseph M. Miller, Chairman, (415) 703-4554
Frank M. Brass, Commissioner
Ronnie Caplane, Commissioner
James C. Cuneo, Commissioner
Alfonso J. Moresi, Commissioner
Janice Murray, Commissioner
William K. O'Brien, Commissioner
Deputy Commissioners
Dennis J. Hannigan, Secretary
Rick Dietrich, Assistant Secretary
Neil P. Sullivan, Assistant Secretary
Self-Insurance Plans (SIP)—http://www.dir.ca.gov/SIP/
2265 Watt Avenue, Suite 1
Sacramento, California 95825
(916) 574-0300, Fax: (916)
483-1535
E-mail: SIP@dir.ca.gov
Mark Johnson, Chief
James Ware, Manager
Jamie Meyers, Marilee Robinson, and Ken Swanson, Supervisors
State Compensation Insurance Fund (SCIF)—http://www.scif.com/
1275 Market Street
San Francisco,
California 94103
(415) 565-1234, Claims Reporting Service (toll
free): (888) 222-3211, Fraud Hotline: (888) 786-7372
Janet
Frank,
President
James F. Neary and John E. Putnam,
Executive Vice Presidents
Connie Raiche, Don L. Smith, Harrison
D. Jerome, Linda T. Hoban, Nancy A. Obertello, and David
West,
Vice Presidents
Directors
Jeanne Cain, Chair of the Board and Senior Vice
President of the California Chamber of Commerce
Sheryl Chalupa, President and Chief Executive Officer
of Goodwill Industries of South Central California and Vice Chair of California
Council of Goodwill Industries
Vincent Mudd, President and Chief Executive Officer of
San Diego Office Interiors
Francis Quinlan, Partner in Kester & Quinlan, LLP
James A. Santangelo, President of Joint Council 42 of
the Teamsters Union and Secretary-Treasurer of Local 848
Ex-officio Board Members
John C. Duncan, Director of the Department of
Industrial Relations
Jay Hansen, designee of the Assembly and Legislative
Director of the State Building & Construction Trades Council
Don Moulds, designee of the Senate and Vice President
of Medical & Regulatory Policy, California Medical Association
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page
Colorado
State of Colorado—http://www.colorado.gov/
Department of Labor &
Employment—http://www.coworkforce.com/
633 17th Street, Suite 200
Denver, Colorado 80202-3660
Donald
J. Mares, Executive Director, (303)
318-8020
Division of Workers' Compensation—http://www.coworkforce.com/dwc/
633 17th Street, Suite 400
Denver, Colorado 80202-3660
(888) 390-7936 (English), (800) 685-0891 (Spanish), (303)
318-8700, Fax:
(303) 318-8710, E-mail: workers.comp@state.co.us
Bob Summers, Director, (303)
318-8014
Paul Tauriello,
Deputy
Director, (303) 318-8650
Click here to download free fillable PDF (Portable Document
Format) versions of Colorado workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Industrial Claims Appeals Office
(ICAP)—http://www.coworkforce.com/icao/
633 17th Street, Suite 600
Denver, Colorado 80202-3660
(303) 318-8131, Fax: (303) 318-8139
Dona Halsey, Director
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page
Connecticut
State of Connecticut—http://www.ct.gov/
Workers' Compensation Commission—http://wcc.state.ct.us/
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(800) 223-9675 (toll-free in Connecticut), (860) 493-1500, Fax: (860) 247-1361
wcc.chairmansoffice@po.state.ct.us
John A. Mastropietro, Chairman
John A. Arcudi, Commissioner
Robin W. Waller, Commissioner
Darius J. Spain, Commissioner
Frank J. Verrilli, Commissioner
A. Thomas White, Jr., Commissioner
James J. Metro, Commissioner
George A. Waldron, Commissioner
Angelo L. dos Santos, Commissioner
Donald H. Doyle, Jr., Commissioner
Nancy A. Brouillet, Commissioner
Linda Blenner-Johnson, Commissioner
Amado J. Vargas, Commissioner
Michael S. Miles, Commissioner
Robin L. Wilson, Commissioner
Leonard S. Paoletta, Commissioner
Marvin L. Smernoff, Chief Administrative
Officer
Click here to download free fillable PDF (Portable Document
Format) versions of Connecticut workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Compensation Review Board (CRB)—http://wcc.state.ct.us/wcc/crb.htm
Capitol Place
21 Oak
Street, Fourth Floor
Hartford, Connecticut 06106
(203) 493-1500,
Fax: (203) 247-1361
Jesse M. Frankl,
Chairman
Michael S. Miles, Commissioner
Donald H. Doyle, Jr., Commissioner
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page
Delaware
State of Delaware—http://delaware.gov/
Department of Labor—http://www.delawareworks.com/
4425 North Market Street
Wilmington, Delaware 19802
dlabor@state.de.us
Thomas
B. Sharp, Secretary, (302) 761-8000, Fax: (302) 761-6621
Division of
Industrial Affairs—http://www.delawareworks.com/industrialaffairs/
4425
North Market Street, Third Floor
Wilmington, Delaware 19802
(302) 761-8200 (Wilmington), (302) 422-1134 (Milford)
John Kirk III, Acting Director, (302)
761-8176, Fax: (302) 761-6601, kpeterson@state.de.us
Office of Workers' Compensation—http://www.delawareworks.com/industrialaffairs/services/WorkersComp.shtml
State Office Building, Sixth Floor
820 North French Street
Wilmington, Delaware 19801
(302) 761-8200 (Wilmington), (302)
422-1134 (Milford), Fax:
(302) 577-3750
John F. Kirk, III,
Administrator
Karen W. Wright, Chair
Jesse I. Hastings, Member
James P. Robinson, III, Member
Richard L. Stone, Member
Arthur Episcopo, Member
Jerome Donohue, Member
Irving Levitt, Member
Armand Cocco, Sr., Member
Jane Mitchell, Member
R. Howard Seward, Member
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page
District of Columbia
District of Columbia—http://www.dc.gov/
Department of Employment Services—http://www.does.dc.gov/does/site/default.asp
Government of the District of Columbia
64 New York Avenue, N.E.
Washington, District of Columbia 20002
(202) 724-7000, Fax: (202) 724-5683, TDD/TYY: (202) 673-6994
E-mail: does@dc.govLabor
Standards Bureau
64 New York Avenue, N.E., Room 3129
Washington, District of Columbia 20002
(202) 671-1555, Fax: (202) 673-6412
Reginald H. Berry, Assistant Director
Office of Workers' Compensation—http://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537428
Mailing Address:
Post Office Box 56098
Washington, District of Columbia 20002
Street Address:
64 New York Avenue, N.E., Room 2909
Washington, District of Columbia 20002
(202) 671-1000, Fax: (202) 671-1929
Charles L. Green, Associate Director
Office
of Hearings and Adjudication—http://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537904
64 New York Avenue, N.E., Room 2011
Washington, District of Columbia 20002
(202) 671-2233, Fax: (202) 673-6938
Malcolm J. Luis-Harper, Chief Administrative
Law Judge
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page
Florida
State of Florida—http://www.myflorida.com/
Florida Department of Financial Services—http://www.fldfs.com/
Tom
Gallagher, Chief Financial Officer, gallaghert@doi.state.fl.us
200 East Gaines Street
Tallahassee, FL 32399-0300
(850) 413-3100, Consumer Helpline: (800) 342-2762
Division of Workers' Compensation—http://www.fldfs.com/WC/
200 East Gaines Street
Tallahassee, Florida 32399-4220
(850) 921-6966;
Fax: (850) 922-6779; Fraud: (800) 742-2214 (in Florida) (Department of Insurance, Bureau of Workers' Compensation Fraud:
(850) 413-3116); Safety: (800) 367-4378 (in Florida), (850) 488-3044
E-mail: WorkCompCusServ@dfs.state.fl.us
Tanner Holloman, Director, (850) 488-2514,
HollomanT@dfs.state.fl.us
Dan Sumner, Assistant Director, SumnerD@dfs.state.fl.us
Click here to download free fillable PDF (Portable Document
Format) versions of Florida workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Workers' Compensation
Oversight Board—http://www.doi.state.fl.us/wc/pdf/2kAR_OversightBoard.PDF
100 Marathon
Building
2574 Seagate Drive
Tallahassee, Florida 32399-2152
(850)
487-2613, SunCom: 277-2613; Fax: (850) 487-3232
Laura Roesch, Chairman
Dan Reynolds, Vice Chairman
Carolyn M. Smith, Executive Director
Florida Division of Administrative Hearings—http://www.doah.state.fl.us/internet/
Office of Judges of
Compensation Claims—http://www.jcc.state.fl.us/jcc/default.cfm
Petition for Benefits:
Post Office Box 8000
Tallahassee, Florida 32314-8000
Filing:
Post Office Box 6350
Tallahassee, Florida 32314-6350
Request for Assignment of Case Number:
Post Office Box 6410
Tallahassee, Florida 32314-6410
(850) 487-1911, SUNCOM 277-1911
Scott
S. Stephens, Deputy Chief Judge
Florida Department of Education—http://www.fldoe.org/
Florida Division of Vocational
Rehabilitation—http://www.rehabworks.org/
2002 Old Saint
Augustine Road, Building A
Tallahassee, Florida 32301-4862
(800) 451-4327 (Voice/TDD), (850) 245-3399
(Voice/TDD)
Bill Palmer, Director
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page
Georgia
State of Georgia—http://www.georgia.gov/
Georgia
State Board of Workers' Compensation—http://sbwc.georgia.gov/
270 Peachtree Street, NW
Atlanta, Georgia 30303-1299
(800)
533-0682, (404)
656-3875, Fax: (404) 656-7768, Enforcement Division: (404)
657-1391, Safety Library: (404) 656-9057
Carolyn C. Hall, Chairman, (404)
656-2034
Viola
S. Drew, Director,
(404) 656-2038
Warren
Massey, Director, (404)
656-2036
Stan
Carter,
Executive Director and Chief Operating Officer, (404) 656-2048
Cathy
Oliver, Deputy Chief Operating Officer, (404)
656-
Thomas M. Risko, Chief Financial Officer,
(404) 656-2314
Click here to download free fillable PDF (Portable Document
Format) versions of Georgia workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Georgia Subsequent Injury Trust Fund—http://sitf.georgia.gov/
Suite 500, North Tower
1720 Peachtree Street, NW
Atlanta, Georgia 30309-2420
(404) 206-6360, Fax: (404) 206-6363, TDD: (404) 206-5053
Richard W. McGee, Administrator, (404)
206-6355, rmcgee@sitf.ga.gov
David L. Taylor, Deputy
Administrator, (404) 206-6354,
dtaylor@sitf.ga.gov
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page
Hawaii
State of Hawaii—http://www.hawaii.gov/portal/
Department of Labor & Industrial Relations
(DLIR)—http://hawaii.gov/labor/
Nelson
B. Befitel, Director, (808) 586-8844, Fax:
(808) 586-9099, dlir.director@hawaii.gov
830 Punchbowl Street
Honolulu, Hawaii 96813
(808) 586-8842, Fax: (808) 586-9099, dlir.director@hawaii.govDisability Compensation Division—http://hawaii.gov/labor/dcd/index.shtml
830 Punchbowl Street, #211
Honolulu, Hawaii 96813
(808) 586-9151, Fax: (808) 586-9219, dlir.workcomp@hawaii.gov
Gary Hamada, Administrator
Labor & Industrial Relations Appeals Board—http://hawaii.gov/labor/hlirab/index.shtml
830 Punchbowl Street #404
Honolulu, Hawaii 96813
(808) 586-8600,
Fax: (808) 586-8599, dlir.laborboard@hawaii.gov
Randall Iwase, Chairman
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page
Idaho
State of Idaho—http://www.idaho.gov/
Idaho Industrial Commission—http://www.iic.idaho.gov/
Street Address:
317 Main Street
Boise, Idaho 83720
Mailing Address:
Post Office
Box 83720
Boise, Idaho 83720-0041
(800) 950-2110, (208)
334-6000; Fax: (208) 334-2321; TDD: (800) 950-2110
Thomas Limbaugh, Chairman (employer representative), (208)
334-6000
James F. Kile, Commissioner (attorney representative), (208)
334-6000
R. D. Maynard, Commissioner (employee representative), (208)
334-6000
Mindy Montgomery, Director, (208)
334-6059
Nancy Beeson, Secretary, (208)
334-6017, nbeeson@iic.idaho.gov
State Insurance Fund—http://www.idahosif.org/
1215 West State Street
Post
Office Box 83720
Boise, Idaho 83720-0044
(800) 334-2370, (208)
334-2370 (in the Boise area); Fax: (208) 334-2262 (Policyholder
Services, Administration, Management Services, Legal), (208) 334-3253
(Claims), (208) 334-3254 (Underwriting); Fraud: (800) 448-ISIF
(4743)
E-mail addresses:
Claims: Claims@isif.state.id.us
Customer Service Center: CustomerService@isif.state.id.us
Fraud: Claims@isif.state.id.us
General Information/News Media Inquiries: abunch@isif.state.id.us
Management Services: ManagementServices@isif.state.id.us
Manager's Office: Administration@isif.state..id.us
Policyholder Services: PHS@isif.state.id.us
Underwriting: Underwriting@isif.state.id.us
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Illinois
State of Illinois—http://www.il.gov/
Illinois
Workers' Compensation Commission—http://www.iwcc.il.gov/
100 West Randolph Street, Suite
8-200
Chicago, Illinois 60601
(866) 352-3033
(toll free within Illinois), (312) 814-6611, Fax: (312)
814-6523, TDD: (312) 814-2959
E-mail:
infoquestions.wcc@illinois.gov
Commissioners
Dennis
R. Ruth, Chairman, (312) 814-6560,
rebecca.marble@illinois.gov
Mario Basurto, Commissioner, (312) 814-1460,
dora.shabazz@illinois.gov
Yolaine
Dauphin, Commissioner, (312) 814-1110,
serina.jenkins@illinois.gov
James F. DeMunno, Commissioner,
(312) 814-6606,
joanne.cozzo@illinois.gov
David Gore, Commissioner,
(312) 814-1211,
michele.mcgee@illinois.gov
Kevin Lamborn, Commissioner, (312) 814-1522,
vivian.frederick@illinois.gov
Nancy Lindsay, Commissioner, (312) 814-1157,
loretta.jackson@illinois.gov
Molly Mason, Commissioner, (312) 814-1522,
barbara.galazkiewicz@illinois.gov
Paul W. Rink, Commissioner, (312) 814-6058,
wayland.johnson@illinois.gov
Barbara A. Sherman, Commissioner,
(312) 814-6603, yvonne.laws@illinois.gov
Administrator
Amy Masters, Secretary of the Commission/Chief of
Staff, (312) 814-5990,
amy.masters@illinois.gov
Commission Review Board
Chairman Dennis R. Ruth,
Chairman, Illinois Workers’ Compensation Commission
Mario Basurto, Senior Business Commissioner
Robert Hanaford, Gubernatorial Appointee
Barbara Sherman, Senior Labor Commissioner
Edward Lee, Elected Chicago Arbitrator Representative
Ann Marie Walsh, Gubernatorial Appointee
Ruth White, Elected Downstate Arbitrator
Representative
Self-Insurers Advisory Board
Chairman Dennis
R. Ruth, Chairman, (312) 814-6560,
karen.smith@illinois.gov
Alex G. Alexandrou
Curtis C. Beam, CPCU, ARM
Margaret Blackshere (Public Member)
Gerald F. Cooper, Jr.
Paul M. McCloskey
David Taylor, AIC, ARM, CWCP
Workers' Compensation Advisory Board
Employee Representatives
Michael Carrigan
Elwood Flowers
Dave Menchetti
Frank Cavarretta
Kim Presbrey
Employer Representatives
David Buckman
Kim Maisch
Gerald Roper
Mark Flannery
Boro Reljic
David Vite
Click here to download free fillable PDF (Portable Document
Format) versions of Illinois
workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Illinois Workers'
Compensation Commission Office of Self-Insurance Administration—http://www.iwcc.il.gov/selfinsurance.htm
E-mail: jean.cannon@illinois.gov
Maria
Sarli-Dehlin, Manager of Self-Insurance,
(312)
814-6065, maria.dehlin@illinois.gov
Springfield Office
701 South Second Street
Springfield, Illinois 62704
(217) 785-7084, Fax: (217)
785-6557
Chicago Office
100 West Randolph Street, Eighth floor
Chicago, Illinois 60601
(312) 814-6065
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Indiana
State of Indiana—http://www.in.gov/
Workers' Compensation Board of Indiana—http://www.in.gov/workcomp/
Government
Center South
402 West Washington Street, Room W-196
Indianapolis,
Indiana 46204
(317) 232-3808; Claims/Statistics: (317)
233-4930; Fax: (317) 233-5493; Insurance: (317) 233-3910;
Ombudsman: (800) 824-COMP (2667), (317) 232-5922
G. Terrence Coriden, Chairman, (317)
232-3808
Rogelio Dominquez, Member,
(317) 232-5922
Douglas Meagher,
Member, (317) 233-5397
Richard J.
Noel, Member, (317) 233-3906
Linda
Powell, Member, (317) 233-3908
John
Rader, Member, (317) 233-3904
Anne
Thomas, Member, (317) 232-5922
Sandy
Cerimele Fralich, Executive Secretary, (317) 232-3809
Indiana Compensation Rating Bureau (ICRB)—http://www.icrb.net/
Street Address:
5920 Castleway West Drive
Indianapolis, Indiana 46250
Mailing Address:
Post Office Box 50400
Indianapolis, Indiana 46250
(800) 622-4208, (317) 842-2800; Fax: (317) 842-3717
E-mail: icrb@icrb.net
Ronald W. Cooper, CWCP, President,
rcooper@icrb.net
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Iowa
State of Iowa—http://www.state.ia.us/
Iowa Workforce
Development—http://www.iowaworkforce.org/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA, (515) 281-5387
Richard V. Running, Director
Iowa Division of Workers' Compensation—http://www.iowaworkforce.org/wc/
1000 East Grand
Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA (562-4692),
(515) 281-5387; Fax: (515) 281-6501, TTD: (515) 281-4748
E-mail: IWD.DWC@iwd.state.ia.us
Michael G. Trier, Workers' Compensation
Commissioner, mike.trier@iwd.state.ia.us
Sharon K. Ortega, Administrative Secretary, sharon.ortega@iwd.state.ia.us
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page
Kansas
State of Kansas—http://www.kansas.gov/
Department of Labor—http://www.dol.ks.gov/
401 SW Topeka Boulevard
Topeka, Kansas 66603-3182
(785) 296-5000
Jim
Garner, Secretary
Division of Workers' Compensation—http://www.dol.ks.gov/WC/HTML/wc_ALL.html
800 SW Jackson, Suite 600
Topeka, Kansas 66612-1227
(800) 332-0353, (785) 296-2996;
Fax: (785) 296-0839; Fraud: (800) 332-0353, (785) 296-6392;
Industrial Safety & Health: (800) 332-0353, (785) 296-4386;
Ombudsman: (800) 332-0353, (785) 296-2996
Paula Greathouse, Director, (785) 296-2996
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Kentucky
Commonwealth of Kentucky—http://kentucky.gov/
Kentucky Department of Labor—http://www.labor.ky.gov/
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502)
564-3070
Philip J. Anderson,
Commissioner, (502) 564-3070, ext. 207; Fax: (502) 696-5205;
leeann.uebel@ky.gov
Office of Workers' Claims—http://www.labor.ky.gov/workersclaims/
657 Chamberlin Avenue
Frankfort, Kentucky 40601
(502) 564-5550 (Administrative Services, Open Records); Fax: (502) 564-8250
(Administrative Services), (502) 564-9533 (Ombudsman), (502) 564-5732 (Open
Records), (502) 564-0916 (Security and Compliance); Ombudsman: (800) 554-8601
(Frankfort), (800) 554-8603 (Paducah), (800) 554-8602
(Pikeville); Security and Compliance: (502) 564-5550
E-mail:
Deborah.Wingate@ky.gov
William P. Emrick, Executive Director, (502)
564-5550, ext. 4439; Fax: (502) 564-5934
Philip A. Harmon, Deputy Executive Director, (502)
564-5550, ext. 4412; Fax: (502) 564-5934
Barbara Meyer-Hughes, Director, Security and Compliance, (502)
564-5550, ext. 4526; Fax: (502) 564-0916
Barbara Mook, Director, Claims Processing and Appeals, (502) 564-5550,
ext. 4534; Fax: (502) 564-3732
Deborah Wingate, Director, Information and
Research, (502) 564-5550, ext. 4423; Fax: (502) 564-5732
Sue Barber, Director, Ombudsman and Medical
Specialist Services, (502) 564-5550, ext. 4559; Fax: (502)
564-9533
Sheila Lowther, Chief Administrative Law Judge,
(502) 564-5550, ext. 4422; Fax: (502) 564-0682
John W. Mann, Chief Workers' Compensation
Specialist, (502) 564-5550, ext. 4532; Fax: (502) 564-9533
Carla Montgomery, General Counsel, (502) 564-5550, ext.
4464; Fax: (502) 564-5934
Click here to download free fillable PDF (Portable Document
Format) versions of Kentucky workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Workers' Compensation Board, (859) 246-2773, Fax:
(859) 246-2779
John A. Gardner,
Chairman
Franklin A. Stivers, Member
Bruce Cowden, Member
Division of Workers' Compensation Funds—http://www.labor.ky.gov/ows/workerscompensationfunds/
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070; Fax: (502) 564-5112
Tim George, Director,
(502) 564-3070, ext. 391; Fax: (502)
564-5112
Workers' Compensation Funding Commission—http://www.kwcfc.ky.gov/
Street Address:
#42 Millcreek Park
Frankfort, Kentucky 40601
Mailing Address:
Post Office Box 1228
Frankfort, Kentucky
40602-1228
(502) 573-3505,
Fax: (502) 573-4023
Jon Eric Nielsen, Executive Director
Frank Dickerson, General Counsel
Kentucky Workers' Compensation Law (via CompEd, Inc.)—http://www.comped.net/
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Louisiana
State of Louisiana—http://www.louisiana.gov/wps/portal/
Department of Labor—http://www.laworks.net/
Mailing Address:
Post Office Box 94094
Baton Rouge, Louisiana 70804-9094
Street Address:
1001 North 23rd Street
Baton Rouge, Louisiana 70804-9094
(225) 342-3111, TDD: (800) 259-5154
John Warner Smith, Secretary of Labor
Office of Workers' Compensation
Administration—http://www.laworks.net/wrk_owca.asp
Mailing Address:
Post Office Box 94040
Baton Rouge, Louisiana 70804-9040
Street Address:
1001
North 23rd Street
Baton Rouge, Louisiana 70802-9094
(225)
342-7555, Fax: (225) 342-5665, Fraud: (800) 201-3362 or WCFraud@ldol.state.la.us, Safety:
(800) 201-2497
E-mail: OWCA@ldol.state.la.us
Karen Reiners Winfrey, Assistant Secretary of Labor
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page
Maine
State of Maine—http://www.maine.gov/
Workers' Compensation Board—http://www.maine.gov/wcb/
27 State House Station
Augusta,
Maine 04333-0027
(207) 287-3751; Fax: (207) 287-7198
Board of Directors
Paul R. Dionne, Chair, (207)
287-7086
Management Representatives
John C. Cooney, Board Member, (207) 287-7096
Gary
M. Koocher, Board Member, (207) 287-7096
James Mingo, Board
Member, (207) 287-7096
Labor Representatives
Rodney Hiltz, Board
Member, (207) 287-7096
Joan R. Kirkpatrick, Board Member, (207)
287-7096
Anthony Monfiletto, Board Member, (207)
287-7096
Staff Members
Paul R. Dionne, Executive Director, (207)
287-7086
Richard Dunn, Deputy Director, Business Services,
(207) 287-7083
Steven P. Minkowsky, Deputy Director, Monitoring, Audit, and Enforcement Program,
(207) 287-7067
Elizabeth Inman, Deputy Director, Office of Medical Rehabilitation Services,
(207) 941-4557
John Rohde, General Counsel, (207)
287-7086
Click here to download free fillable PDF (Portable Document
Format) versions of Maine workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
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page
Maryland
State of Maryland—http://www.maryland.gov/
Maryland Workers' Compensation Commission—http://www.wcc.state.md.us/
10 East Baltimore Street
Baltimore, Maryland 21202-1641
(800) 492-0479,
(410) 864-5100; Fax: (410) 333-8122; Fraud: (800) 846-4069;
info@wcc.state.md.us
R.
Karl Aumann, Chairman, (410) 864-5300
A. Francis Carven, III, Commissioner, (410)
864-5276
David O. Goodwin, Jr., Commissioner, (410) 864-5112
Kenneth G. Macleay, Commissioner, (410) 864-5135
Cynthia S. Miraglia, Commissioner, (410) 864-5130
Thomas P. O'Reilly, Commissioner, (410) 864-5179
Maureen Quinn, Commissioner, (410) 864-5270
Stephen Rosenbaum, Commissioner, (410) 864-5365
Lauren Sfekas, Commissioner, (410) 864-5238
John R. Webster, Jr., Commissioner, (410) 864-5340
Mary K. Ahearn, Executive Director of Administration,
(410) 864-5308
Click here to download free fillable PDF (Portable Document
Format) versions of Maryland workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Insured Workers' Insurance Fund—http://www.iwif.com/
8722 Loch Raven Boulevard
Towson, Maryland 21286-2235
(800) 264-IWIF (4943), (410) 494-2000; Fax: (410) 494-2001;
Injury Reporting Hotline: (888) 410-1400; Fraud:
(888) ANTI-FRAUD (268-4372),
reportfraud@iwif.com
Daniel E. McKew,
CPA, Chairman
Michelle Duffy-Orr, Vice Chairwoman
Rocky V. Gonzalez, Secretary
R. Bruce Alderman, Board Member
Frank D. Boston, Jr., Board Member
Gregory D. Chasney, Board Member
Queen Logan Gladden, Board Member
James C. Simpson, Board Member
Michael J. Wagner, Board Member
Thomas L. Bromwell, President and Chief Executive
Officer
Dennis W. Carroll, Executive Vice President and
General Counsel
George H. Matthews, Executive Vice President,
Marketing, Strategic Planning, Business Development
Robert E. Merritt, Executive Vice President, Chief
Investment Officer
Timothy K. Michels, Executive Vice President, Claims
Thomas J. Phelan, CPA, Executive Vice President,
Finance
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page
Massachusetts
Commonwealth of Massachusetts—http://www.mass.gov/
Department of Industrial Accidents—http://www.mass.gov/dia/
600 Washington Street,
Seventh Floor
Boston, Massachusetts 02111
(800) 323-3249, (617)
727-4900; Fax: (617) 727-6477; TTY: (800) 224-6196
John C. Chapman, Commissioner
John Chapman, Deputy Commissioner
James L. LaMothe, Jr., Senior Judge
Click here to download free fillable PDF (Portable Document
Format) versions of Massachusetts workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Massachusetts Workers' Compensation
Advisory Council—http://www.mass.gov/wcac/
600
Washington Street, Seventh Floor
Boston, Massachusetts 02111
(617) 727-4900, ext. 378; Fax: (617) 727-7122
Paul Byrne,
Chairman
Thomas M. Jones, Vice Chairman
Andrew S. Burton, Executive
Director
Workers’
Compensation Rating and Inspection Bureau of Massachusetts—https://www.wcribma.org/mass/
101 Arch Street
Boston, Massachusetts 02110
(617) 439-9030, Fax: (617) 439-6055
Paul F. Meagher, President
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page
Michigan
State of Michigan—http://www.michigan.gov/
Department of
Labor & Economic Growth—http://www.michigan.gov/cis
Street Address:
611 W. Ottawa
Lansing, Michigan 48909
Mailing Address:
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820, Fax: (517) 373-2129
David
C. Hollister, Director
Workers' Compensation Agency—http://www.michigan.gov/wca
Street Address:
State Secondary Complex
General Office Building
7150 Harris Drive
1st Floor, B-Wing
Lansing, Michigan 48913
Mailing Address:
Post Office Box 30016
Lansing, Michigan 48909
(888) 396-5041,
(313) 456-2400,
Fax: (313) 456-2424
E-mail: wcinfo@michigan.gov
Jack A. Nolish, Director, (517) 322-1106, Fax: (517) 322-6689, janolis@michigan.gov
Bruno R. Czyrka, Deputy Director, (517)
322-1106, Fax: (517) 322-6689, bczyrk@michigan.gov
Sue Bickel, Secretary, (517) 322-1106, Fax:
(517) 322-6689, sbicke@michigan.gov
Click here to download free fillable PDF (Portable Document
Format) versions of Michigan workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Board of Magistrates—http://www.michigan.gov/wca/0,1607,7-191-26919---,00.html
Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380,
Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987
Murray Gorchow, Acting Chairman, (313) 456-3657,
Fax: (313) 456-3651, magorch@michigan.gov
Workers'
Compensation Appellate Commission—http://www.michigan.gov/cis/0,1607,7-154-10576_17495---,00.html
Street
Address:
Ottawa Building, 2nd Floor
611 West Ottawa Street
Lansing, Michigan 48909
Mailing
Address:
Post Office Box 30468
Lansing, Michigan 48909-7968
(517) 373-8020, Fax: (517)
241-1396
E-mail:
wcacinfo@michigan.gov
Martha M. Glaser, Chairperson
James J. Kent
Gregory A. Przybylo
Granner S. Ries
Rodger G. Will
Michigan Economic
Development Corporation—http://medc.michigan.org/
300 North Washington Square
Lansing, Michigan 48913
(888) 522-0103, (517) 373-9808
James
C. Epolito, President and Chief Executive Officer
Sanford
“Sandy” Ring, Chief Operating
Officer
Michigan
Business Guide to Workers' Compensation—http://medc.michigan.org/services/workerscomp/
Compensation Cost Control Service
Victor Office Center, Fourth Floor
201 North Washington Square
Lansing, Michigan 48909-7968
(517) 373-9809, Fax: (517) 241-3689
Compensation Advisory
Organization of Michigan (CAOM)—http://www.caom.com/
Street
Address:
17197 North Laurel Park Drive, Suite 311
Livonia, Michigan 48152
Mailing Address:
Post Office Box 3337
Livonia, Michigan 48151-3337
(734) 462-9600, Fax: (734) 462-9721
Jerry J. Stage, President and Chief Executive Officer
Jon D. Heikkinen, Senior Vice President, CAOM
Operations
Gary L. Thompson, Vice President, Facility Operations
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page
Minnesota
State of Minnesota—http://www.state.mn.us/
Department of Labor and Industry—http://www.doli.state.mn.us/
443 Lafayette Road
North
St. Paul,
Minnesota 55155-4307
(800) DIAL-DLI (342-5354), (651)
284-5005; TTY: (651)
297-4198
Scott Brener,
CommissionerWorkers' Compensation
Division—http://www.doli.state.mn.us/workcomp.html
443
Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI (342-5354)
in Greater Minnesota, (651) 284-5005 in the St.
Paul area, (800) 365-4584 or (218) 733-7810 in the Duluth area; Fax: (651)
284-5727
E-mail: DLI.Workcomp@state.mn.us
Beth Hargarten, Assistant Commissioner
Click here to download free fillable PDF (Portable Document
Format) versions of
Minnesota workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Workers' Compensation Court of Appeals—http://www.workerscomp.state.mn.us/
405 Minnesota Judicial Center
25 Dr. Martin Luther King Jr. Boulevard
St. Paul, Minnesota 55155
(651) 296-6526, Fax: (651) 297-2520, TTY/TDD: (800) 627-3529
Thomas L. Johnson, Chief Judge
William R. Pederson, Judge
Miriam P. Rykken, Judge
David A. Stofferahn, Judge
Debra A. Wilson, Judge
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page
Mississippi
State of Mississippi—http://www.state.ms.us/index.jsp
Mississippi Workers' Compensation
Commission—http://www.mwcc.state.ms.us/
Street Address:
1428 Lakeland Drive
Jackson, Mississippi 39216
Mailing Address:
Post Office Box 5300
Jackson, Mississippi 39296-5300
(601) 987-4200, Fraud: (601) 359-4250
Ben Barrett Smith, Chairman, (601) 987-4258, bsmith@mwcc.state.ms.us
Barney Schoby, Commissioner, (601) 987-4254, bschoby@mwcc.state.ms.us
Beverly A. Bolton, (601) 987-4256, bbolton@mwcc.state.ms.us
Ray C. Minor, Executive Director, (601) 987-4205, rminor@mwcc.state.ms.us
Jo Ann McDonald, Commission Secretary, (601) 987-4200, jmcdonald@mwcc.state.ms.us
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page
Missouri
State of Missouri—http://www.mo.gov/
Department of Labor and
Industrial Relations—http://www.dolir.missouri.gov/index.asp
Street Address:
3315 West Truman Boulevard, Room 213
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 504
Jefferson City, Missouri 65102-0504
(573) 751-9691, Fax: (573) 751-4135
Catherine B. Leapheart, Director, (573)
751-9691, Fax: (573) 751-4135, E-mail: Diroffice@dolir.mo.gov
- Division of Workers'
Compensation—http://www.dolir.missouri.gov/wc/
Street Address:
3315 West Truman Boulevard, Room 131
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 58
Jefferson City, Missouri 65102-0058
(573) 751-4231, Fax: (573) 751-2012, Employee Hotline: (800) 775-2667,
Employer Hotline: (888) 837-6069,
Fraud and Noncompliance: (800)-592-6003, (573)-526-6630,
Workers' Safety Program: (573) 526-3504
E-mail: Workerscomp@dolir.mo.gov
Renèe Slusher, Director, (573) 751-4231, Fax: (573) 751-2012
Click here to download free fillable PDF (Portable Document Format)
versions of Missouri workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
- Labor and Industrial
Relations Commission—http://www.dolir.state.mo.us/lirc/index.htm
Street Address:
3315 West Truman Boulevard
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 599
Jefferson City, Missouri 65102-0599
(573) 751-2461, Fax: (573) 751-7806
Christopher S. Kelly, Chairman
Matthew W. O'Neill, Commissioner
Chris Wrigley, Commissioner
Pamela M. Hofmann, Secretary
Victorine R. Mahon, Chief Counsel
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page
Montana
State of Montana—http://mt.gov/
Department of Labor and Industry—http://dli.mt.gov/
Post Office Box 1728
Helena, Montana 59624-1728
(406) 444-2840, Fax: (406) 444-1394
E-mail: dliquestions@mt.gov
Keith Kelley, Commissioner
Employment Relations Division—http://erd.dli.mt.gov/
Jerry Keck, Administrator
Workers'
Compensation Claims Assistance Bureau—http://erd.dli.mt.gov/wcclaims/wcchome.asp
Street Address:
1805 Prospect Avenue
Helena, Montana 59624
Mailing Address:
Post Office Box 8011
Helena, Montana 59624-8011
(406) 444-6543, Fax: (406) 444-3465, TDD: (406)
444-9696
E-mail: jakoehl@mt.gov
Diana Ferriter, Bureau Chief, (406) 444-1574,
Fax: (406) 444-4140,
diferriter@mt.gov
Workers'
Compensation Regulation Bureau—http://erd.dli.mt.gov/wcregs/wcrhome.asp
Street Address:
1805 Prospect Avenue
Helena, Montana 59624
Mailing Address:
Post Office Box 8011
Helena, Montana 59624-8011
(406) 444-6541, Fax: (406) 444-3465
Keith Messmer, Bureau Chief, (406) 444-6541,
Fax: (406) 444-3465,
kmessmer@mt.gov
Workers' Compensation
Court—http://wcc.dli.mt.gov/
Street Address:
1625 11th Avenue
Helena, Montana
Mailing Address:
Post Office Box 537
Helena, Montana 59624-0537
(406) 444-7794, Fax: (406) 444-7798
E-mail:
pkessner@state.mt.us
Mike McCarter, Judge
Montana State Fund—http://www.montanastatefund.com/
Street Address:
5 South Last Chance Gulch
Helena, Montana 59601
Mailing Address:
Post Office Box 4759
Helena, Montana 59604-4759
(406) 444-6500, Claim Reporting/ Customer Service: (800) 332-6102, Fraud Reporting: (888) 682-7463
Carl Swanson, President/CEO
Self Insurers' Guaranty Fund
Post Office Box 4133
Missoula, Montana 59806
(406) 549-8849
George Wood, Director
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page
Nebraska
State of Nebraska—http://www.nebraska.gov/
Workers' Compensation Court—http://www.wcc.ne.gov/
Street Address:
Lincoln, Nebraska 68509
State House, 13th Floor
Mailing Address:
Post Office Box 98908
Lincoln, Nebraska 68509-8908
(800) 599-5155 (in
Nebraska only), (402) 471-6468 (Lincoln and out of state), Fax: (402)
471-2700
Michael K. High, Presiding
Judge
Ronald L. Brown, Judge
Michael P. Cavel, Judge
James K. Coe, Judge
J. Michael Fitzgerald, Judge
John R. Hoffert, Judge
Laurel K. Van Norman, Judge
Glenn W. Morton, Administrator, (402)
471-3602, Fax: (402)
471-2700, glenn.morton@wcc.ne.gov
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Nevada
State of Nevada—http://www.nv.gov/
Department of Business & Industry—http://dbi.state.nv.us/
In Northern Nevada:
788 Fairview Avenue, Suite 100
Carson City, Nevada 89701-5491
(775) 687-4250, Fax: (775) 687-4266
E-Mail: biinfo@dbi.state.nv.us
In Southern Nevada:
555 E. Washington Avenue, Suite 4900
Las Vegas, Nevada 89101
(702) 486-2750, Fax: (702) 486-2758
E-Mail: biinfo@dbi.state.nv.us
Division of Industrial
Relations—http://dirweb.state.nv.us/
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7260, Fax: (775) 687-6305
D. Roger Bremner, Administrator, (775)
684-7260, Fax: (775) 687-6305,
rbremner@dbi.state.nv.us
John Laxalt, Assistant Administrator, (775)
684-7263, Fax: (775) 687-6305,
jplaxalt@dbi.state.nv.us
Industrial Insurance Regulation
Section—http://dirweb.state.nv.us/iirs.htm
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7270, Fax: (775) 687-6305
Workers' Compensation Section—http://dirweb.state.nv.us/WCS/wcs.htm
1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89074
(702) 486-9080, Fax: (702) 990-0364
E-mail: wcshelp@dbi.state.nv.us
Charles J. Verre, Chief Administrative
Officer, (702) 486-9087,
cverre@dbi.state.nv.us
Northern District:
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7270, Fax: (775) 687-6305
Charlotte LaCombe, (775) 684-7278,
clacombe@dbi.state.nv.us
Southern District:
1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89074
(702) 486-9080, Fax: (702) 990-0364
Ken Webb, Manager, (702) 486-9105,
kwebb@dbi.state.nv.us
Nevada Attorney for Injured
Workers—http://naiw.nv.gov/
Nancyann Leeder, Nevada Attorney for
Injured Workers
2200 South Rancho Drive, Suite 230
Las Vegas, Nevada 89102
(702) 486-2830, Fax: (702) 486-2844
E-mail:
naiw@naiw.nv.gov
Gary Watson, Supervising Attorney
1000 East William Street, Suite 208
Carson City, Nevada 89701
(775) 684-7555, Fax: (775) 684-7575
E-mail:
naiw@naiw.nv.gov
Donna Sweger, Supervising Attorney
Employers Insurance Company of Nevada—http://www.employersinsco.com/
9790 Gateway Drive, Suite 100
Reno, Nevada 89521
2550 Paseo Verde Parkway
Henderson, Nevada 89074-7117
(888) 682-6671; Claim Reporting: (888) 900-1455, Fax: (888)
527-3422; Underwriting/Insurance Services: (888) 682-6671
E-mail: info@eigwc.com
Douglas D. Dirks, President, Chief Executive Officer
Mary-Lou Misrahy, Executive Vice President, Chief Operating Officer
John Donaldson, Executive Vice President,
Chief Financial Officer
Lenard Ormsby, Executive Vice President, General Counsel
Ann Nelson, Senior Vice President, Governmental
Affairs
Rich Anderson, Senior Vice President, Insurance
Operations
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New Hampshire
State of New Hampshire—http://www.state.nh.us/
Department of Labor—http://www.labor.state.nh.us/
95 Pleasant Street
Concord,
New Hampshire 03301
(603) 271-3177
George N. Copadis, Commissioner
David M. Wihby, Deputy Commissioner
Workers' Compensation
Division—http://www.labor.state.nh.us/workers_compensation.asp
95 Pleasant
Street
Concord, New Hampshire 03301
(603) 271-3174 (claims),
(603) 271-2042 (coverage), (603) 271-6172 (self-insurance),
(603) 271-3328 (vocational rehabilitation)
Kathryn J. Barger, Director
Click here to download free fillable PDF (Portable Document
Format) versions of New Hampshire workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
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New Jersey
State of New Jersey—http://www.state.nj.us/
Department of Labor—http://www.state.nj.us/labor/
John Fitch Plaza
Post Office Box
110
Trenton, New Jersey 08625
(609) 292-2323, Fax: (609)
633-9271
David J. Socolow, Acting Commissioner,
(609) 292-2975
Division of Workers'
Compensation—http://www.nj.gov/labor/wc/wcindex.html
Post
Office Box 381
Trenton, New Jersey 08625-0381
(609) 292-2515, Fax: (609) 984-2515
E-mail: dwc@dol.state.nj.us
Peter Calderone,
Chief Judge & Director, (609) 292-2414, fax: (609) 984-2515,
peter.calderone@dol.state.nj.us
Renee Ricciardelli, Administrative Supervising Judge, (609) 292-2414,
fax: (609) 984-2515, renee.ricciardelli@dol.state.nj.us
Click here to download free fillable PDF (Portable
Document Format) versions of New Jersey workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
N.J. Compensation Rating and Inspection
Bureau—http://www.njcrib.com/
60 Park Place
Newark, New
Jersey 07102
(973) 622-6014, Fax: (973) 622-6110
Grover E. Czech, Executive Director,
(973) 622-6014, ext. 213
Louis A. "Tony"
Georges, Associate Executive Director, (973) 622-6014, ext. 215
Roland E. Brazda III, Director, Underwriting,
(973) 622-6014, ext. 214
Frederick A.
Huber, Director, Actuarial, (973) 622-6014, ext. 223
Salvatore A. Nardone, Director, Experience
Rating, (973) 622-6014, ext. 216
John T.
Skidmore, Director, Policy Review, (973) 622-6014, ext. 217
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page
New Mexico
State of New Mexico—http://www.newmexico.gov/
Workers' Compensation Administration—http://www.workerscomp.state.nm.us/
Mailing Address:
Post Office Box 27198
Albuquerque, New Mexico 87125-7198
Street Address:
2410 Centre Avenue SE
Albuquerque, New Mexico 87125
(800) 255-7965, (505) 841-6000, Fax: (505) 841-6009
Help
Line/Hot Line: (866) WORKOMP (967-5667), TTY/TDD: (505)
841-6043,
E-mail:
wca.hotline@state.nm.us
Alan
M. Varela, Director, (505) 841-6007
Belinda
Foster-Martinez, Executive Secretary,
Belinda.FosterMartinez@state.nm.us
Abelino
Montoya, Jr., Assistant Director
Al Otero, Special Assistant to the Director
Chris Johnston, Facilities Management
Ida Alvarado, Financial Services
Van Cravens, Public Information Officer, (505) 841-6004,
Van.Cravens@state.nm.us
Greg Griego, Dispute Resolution
Sharon Gentry, Office of the General Counsel
Christopher Marlowe, Enforcement
Laura Feight, Deputy Director, Internal
Operations Division
Elaine Trujillo, Deputy Director, External
Operations Division
Workers' Compensation Judges
Gregory
D. Griego, (505) 841-6023
Terry Kramer, (505) 841-6029
Helen L. Stirling, (505) 841-6841
Advisory Council on Workers' Compensation and Occupational
Disease Disablement
Nick Kapnison, Chairman, Business Member, (505)
872-1700
Mike Anaya, Business Member, (505) 832-4715 or
832-4391
David W. Barber, Labor Member, (505) 463-6822
Mark G. Henderson, Business Member, (505) 292-8955
Jude McMullen, Labor Member, (505) 841-6000
Fidel A. Munoz, Labor Member, (505) 265-7933
Alan M. Varela, Ex-Officio Member, (505) 841-6007
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New York
State of New York—http://www.ny.gov/
New
York State Workers' Compensation Board—http://www.wcb.state.ny.us/
20 Park Street
Albany, New York 12207
(877) 632-4996,
Fax: (518) 473-1415, Fraud: (888) 363-6001
Donna
Ferrara, Chair
Frances M. Libous, RN, BS,
Vice Chair
Mona A. Bargnesi, Member
Richard A. Bell, Member
Michael T. Berns, Member
Candace K. Finnegan, Member
Scott C. Firestone, Member
Agatha Edel Groski, Member
Karl A. Henry, Member
Ellen O. Paprocki, Member
Robert M. Zinck, Member
Glenn Warren, Executive Director
Advocate for Business, (800) 628-3331
Edwin Ruff,
Advocate for Injured Workers, (800) 580-6665, (518) 474-8182,
Fax: (518) 486-7510
Click here to download free fillable PDF (Portable
Document Format) versions of New York workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
New York State Insurance Fund—http://www.nysif.com/
199 Church Street
New York, New York 10007
(888) 875-5790, (212) 312-9000, Fax: (212) 385-2073
Robert H. Hurlbut, Chairman
David P. Wehner, Executive Director/Chief
Executive Officer
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page
North Carolina
State of North Carolina—http://www.ncgov.com/
Department of Commerce—http://www.nccommerce.com/
Mailing Address:
4301 Mail Service Center
Raleigh, North Carolina 27699-4301
Street Address:
301 North Wilmington Street
Raleigh, NC 27020-0571
(919) 733-4151
E-mail: info@mail.commerce.state.nc.us
Jim
Fain, Secretary
North Carolina Industrial Commission—http://www.comp.state.nc.us/
Mailing
Address:
4340 Mail Service Center
Raleigh, North Carolina 27699-4340
Street Address:
Dobbs Building (sixth floor)
430 North Salisbury Street
Raleigh, North Carolina 27603-5937
(919) 807-2500, Fax: (919) 715-0282
Buck Lattimore, Chairman,
(919) 807-2525, lattimob@ind.commerce.state.nc.us
Bernadine S. Ballance,
Commissioner, (919) 807-2511, ballancb@ind.commerce.state.nc.us
Laura Kranifeld Mavretic,
Commissioner, (919) 807-2521, mavretil@ind.commerce.state.nc.us
Danny Lee McDonald, Commissioner,
(919) 807-2516, mcdonald@ind.commerce.state..nc.us
Christopher Scott, Commissioner,
(919) 807-2513, scottc@ind.commerce.state..nc.us
Dianne C. Sellers, Commissioner,
(919) 807-2523, sellersd@ind.commerce.state.nc.us
Pamela
T. Young, Commissioner,
(919) 807-2517, youngp@ind.commerce.state.nc.us
Barbara
Levine, Administrator,
(919) 807-2525, levineb@ind.commerce.state.nc.us
Fraud
Investigations Section: (888) 891-4895 (in North Carolina)—http://www.comp.state.nc.us/ncic/pages/fraud.htm
Safety
Education Section: (919) 807-2603—http://www.comp.state.nc.us/ncic/pages/safety.htm
Workers’
Compensation Information Specialists Section (formerly Ombudsman
Section): (800) 688-8349—http://www.comp.state.nc.us/ncic/pages/ombudsmn.htm
Click here to download free fillable PDF (Portable Document
Format) versions of North Carolina workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
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page
North Dakota
State of North Dakota—http://www.nd.gov/
Workforce Safety & Insurance—http://www.WorkforceSafety.com/
1600 East Century Avenue, Suite One
Bismarck, North Dakota 58506-5585
(800) 777-5033, (701) 328-3800; Fax: (701) 328-3820; Fraud:
(800) 243-3331; Safety and Loss Prevention: (701) 328-3886; TDD: (701)
328-3786
E-mail: WorkforceSafety@wcb.state.nd.us
Brent J. Edison, Executive Director/CEO
Workforce Safety & Insurance Board of Directors
Post Office Box 2174
Bismarck, North Dakota 58502-2174
David H. Ystebo, Chairman
Robert M. Indvik, Vice Chairman
Richard Bergstad
Mark Gjovig
Sindy Keller
Cal Kolling
Evan Mandigo
Robert Nelson
Denny Schneider
Nancy A. Slotten
Allen "Gene" Wyman, M.D.
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page
Ohio
State of Ohio—http://ohio.gov/
Ohio Bureau of Workers' Compensation—http://www.ohiobwc.com/
30 West Spring Street
Columbus, Ohio 43215-2256
E-mail: Feedback@bwc.state.oh.us
(800) OHIOBWC (800-644-6292); Fax: (877) 520-OHIO (6446); TTY: (800)
BWC-4-TDD (800-292-4833); Authorized Consent for Release of Information:
Fax: (614) 621-3376; Ombudsman: (800) 335-0996, Fax: (614)
644-1998, Ombudsperson@bwc.state.us.us
Marsha
P. Ryan, Administrator
Click here to download free fillable PDF (Portable Document
Format) versions of Ohio workers'
compensation forms courtesy Interface
Technologies—http://www.interfacetec.com/
Industrial Commission of Ohio—http://www.ohioic.com/index.jsp
30 West Spring Street
Columbus, Ohio 43215-2256
(800) 521-2691, (614) 466-6136, Fax: (614) 752-8304
William E. Thompson, Chairman
Patrick J. Gannon, Member
Barbara Knapic, Member
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page
Oklahoma
State of Oklahoma—http://www.ok.gov/
Oklahoma
Workers'
Compensation Court—http://www.owcc.state.ok.us/
Oklahoma
City Location:
Denver N.
Davison Court Building
1915 North Stiles Avenue
Oklahoma City, Oklahoma 73105
Tulsa Location:
440 South Houston, Suite 210
Tulsa, Oklahoma 74127
(800) 522-8210 (statewide), (405) 522-8600 (Oklahoma City) and
(918) 581-2714 (Tulsa), Fax: (405) 522-8687 (administration)
Mary A. Black,
Presiding Judge
Tom Leonard, Vice Presiding Judge
Richard L. Blanchard, Judge
Ellen C. Edwards, Judge
Kenton W. Fulton, Judge
Gene Prigmore, Judge
Cherri Farrar, Judge
Michael J. Harkey, Judge
John M. McCormick, Judge
Kent Eldridge, Judge
Marcia Davis, Administrator, (405)
522-8776
Mike Sykes, Supervisor, Counselors Department, (405)
522-8760 or (800) 522-8210 (statewide)
Department of Labor—http://www.okdol.state.ok.us/
4001 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105-5212
(888) 269-5353, (405)
528-1500 Fax: (405) 528-5751
Lloyd L. Fields, Commissioner, (405)
528-1500, ext. 200; Fax: (405) 528-5751;
lfields@oklaosf.state.ok.us
Workers' Compensation
Enforcement Unit—http://www.okdol.state.ok.us/workcomp/index.htm
Sharon Eischen, Director, seischen@oklaosf.state.ok.us
Worker Safety Policy
Council—http://www.okdol.state.ok.us/wspc/index.htm
Lloyd L. Fields, Chairman
Clayton Abernathy,
Member
Scott Barger,
Member
Jim Bowien, Member
Harry Coates,
Member
Steve Compton,
Member
Cheryl Dorrance,
Member
Debbe Leftwich,
Member
Cheryl Marcham,
Member
Chuck Mills,
Member
Gerri Mooney,
Member
Norma Noble,
Member
Robert Noll, Member
Don Powers, Member
Dave Koeneke, Member
Mike Seney, Member
Mike Wilt, Member
Trebor Worthen, Member
CompSource Oklahoma—http://www.compsourceok.com/
Mailing Address (Oklahoma City):
Post Office Box 53505
Oklahoma City, Oklahoma
73152-3505
Street Address (Oklahoma City):
1901 North Walnut Avenue
Oklahoma City, Oklahoma
73105-3295
(800) 347-3863, (405) 232-7663;
Teleclaim (to report an injury): (800) 872-7015; Claims Information:
(800) 462-7966, (405) 962-3872; Fax: (405) 962-3000, Fraud Hotline:
(800) 899-1847
Claims Information:
claims@compsourceok.com,
Fraud:
fraud@compsourceok.com
Street Addresses (Tulsa Branch Office):
1305 South Denver Avenue
Tulsa, Oklahoma
74119-3040
Mailing Address (Tulsa
Branch Office):
Post Office Box
50580
Tulsa,
Oklahoma 74150-0580
(800) 347-3863,
(918) 295-1500
Terry
McCullar, President and Chief Executive Officer, (405) 962-3334,
Fax: (405) 962-3127
Janet McFeeters,
Assistant to the Presiden