Worker's Compensation

The State of Indiana requires a completed First Report of Injury form.

Please email the signed form to us at

If you have any questions regarding the claim process, please contact the Customer Service Center at 1-800-723-3276.


Your annual membership provides everyone in the household (children to age 25) access to savings and discounts on purchases, travel, hotels, vehicle rentals, airport parking, theme parks, tickets to attractions and events, and more.

Umbrella Policy
Ford Member Discount
Roadside Assistance