Please Note: If your employer does not send the Employer's First Report of Injury or Fatality - Form 101 to the insurer, you should report the injury in writing to the insurance company yourself or complete the DIA's Employee's Claim - Form 110 and send the insurer a copy of the completed form. Your employer should have a poster displayed in the workplace with the name and address of its workers' compensation insurer and policy information. If your employer does not have this poster displayed and will not tell you the name of its insurance company, the DIA's Office of Insurance at 617-626-5480 or 617-626-5481 and they will try to help you.
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