State Agencies

Visit the state agency Web sites to view the forms for first report of injury. ERIE will file all required reports with the state workers’ compensation agencies for you.

Filed electronically (no paper forms):

Refer to the list of workers’ compensation state administrative agencies for additional information.

Get an Auto Quote

Please enter the valid ZIP Code
     

Contact Customer Service

1-800-458-0811

Want to Talk?

Contact Customer Service

1-800-458-0811

Want to Talk?