Claim Petition

 

Welcome to the Workers' Compensation Claim Petition Web Application. This application allows you to file a Claim Petition form via the Internet.

 

The instructions provided on the next page contain valuable information that, if read thoroughly, will lead to successful electronic submission of the Claim Petition form. Navigation throughout the application should be done by clicking the provided buttons ONLY.

 

For your security, this site requires a browser with support for SSL (Secure Sockets Layer) 128-bit encryption. If you do not have one of the suggested browsers, you may download a copy below. Detailed instructions are provided by each vendor. After downloading, you will need to exit your current browser in order to install the new one.

 

Claim Petition Electronic Submission