Report a claim by mail or fax

You may also complete an employer report of injury/illness by fax. Download the state’s form below, complete the form and fax the report to 225-389-1122.

If phone or fax is unavailable, you can print and complete the employer report and mail to:
PO Box 40647, Baton Rouge, LA 70835-0647

Please retain a final copy for your records