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Workers' Compensation Administrators Directory


United States and D.C.:   U.S. Department of Labor    Alabama    Alaska    Arizona    Arkansas    California    Colorado    Connecticut    Delaware    District of Columbia    Florida    Georgia    Hawaii    Idaho    Illinois    Indiana    Iowa    Kansas    Kentucky    Louisiana    Maine    Maryland    Massachusetts    Michigan    Minnesota    Mississippi    Missouri    Montana    Nebraska    Nevada    New Hampshire    New Jersey    New Mexico    New York    North Carolina    North Dakota    Ohio    Oklahoma    Oregon    Pennsylvania    Rhode Island    South Carolina    South Dakota    Tennessee    Texas    Utah    Vermont    Virginia    Washington    West Virginia    Wisconsin    Wyoming   

Other U.S. Areas:   American Samoa    Guam    Navajo Nation    Northern Mariana Islands    Puerto Rico    Virgin Islands   

Canada:   Federal Jurisdiction    Alberta    British Columbia    Manitoba    New Brunswick    Newfoundland and Labrador    Northwest Territories    Nova Scotia    Ontario    Prince Edward Island    Québec    Saskatchewan    Yukon Territory   


United States and D.C.

U.S. Department of Labor

U.S. Department of Labor (DOL)—http://www.dol.gov/
200 Constitution Avenue NW
Washington, District of Columbia 20210
    Elaine L. Chao, Secretary, (202) 693-6000
    Steven Law, Deputy Secretary, (202) 693-6000
    Vacant, Chief of Staff, (202) 693-6000

DOL's Employment Standards Administration (ESA)—http://www.dol.gov/esa/
(202) 219-6692, Fax: (202) 219-8568
    Victoria A. Lipnic, Assistant Secretary, (202) 693-0200

ESA's Office of Workers' Compensation Programs (OWCP)—http://www.dol.gov/esa/owcp_org.htm
(202) 219-6191
    Shelby Hallmark, Director, (202) 693-0031
    Diane Svenonius, Deputy Director, (202) 693-0031
    Cecily Rayburn, Deputy Director, Planning, Policy, and Standards, (202) 693-0032
    Michael Niss, Director, Longshore and Harbor Workers' Compensation, (202) 693-0038
        Contacts for Longshore and Harbor Workers' Compensation—http://www.dol.gov/esa/contacts/owcp/lscontac.htm
    Deborah Sanford, Director, Federal Employees' Compensation, (202) 693-0040
        Contacts for Federal Employees' Compensation—http://www.dol.gov/esa/contacts/owcp/fecacont.htm
    James L. DeMarce, Director, Coal Mine Workers' Compensation, (202) 693-0046
        Contacts for Coal Mine Workers' Compensation—http://www.dol.gov/esa/contacts/owcp/blcontac.htm
    

OWCP Regional Directors

Northeast Region (consists of the New York and Boston offices)

Jaye Weisman, Regional Director
201 Varick Street, Room 750
New York, NY 10014
(646) 264-3100
Information on the New York office.

Boston Subregion

JFK Federal Building, Room E-260
Boston, MA 02203
(617) 624-6671
 

Philadelphia Region

R. David Lotz, Regional Director
Curtis Center, Suite 780 West
170 S. Independence Mall West
Philadelphia, PA 19106-3313
(215) 861-5401
Fax: (215) 861-5400
Information on the Philadelphia Region.
 

Atlanta Region (Jacksonville, FL)

Richard A. Brettell, Regional Director
214 North Hogan Street, Room 1026
Jacksonville, FL 32202
(904) 357-4777
Information on Region 4.
 

Midwest Region (Consists of the Chicago, Cleveland, and Kansas City offices)

Nancy Jenson, Regional Director
230 South Dearborn Street, 8th Floor
Chicago, IL 60604
(312) 596-7131
 

Cleveland Subregion

Robert Sullivan, District Director, FEC
1240 East Ninth Street, Room 851
Cleveland, OH 44199
(216) 357-5372
Information on DFEC District 9.
 

Kansas City Subregion

Lois Maxwell, District Director, FEC
City Center Square Building, Suite 750
1100 Main St.
Kansas City, MO 64105
(816) 502-0344
 

Southwest Region (Consists of the Dallas and Denver offices)

E. Martin Walker, Regional Director
Federal Building
525 South Griffin St.
Dallas, TX 75202
(972) 850-2409
Information on Region 6.
 

Denver Subregion

Robert Mansanares, Deputy Regional Director
1999 Broadway, Suite 600
P.O. Box 46550
Denver, CO 80201-6550
(720) 264-3160
Fax: (720) 264-3111
 

Pacific Region (Consists of the San Francisco and Seattle offices)

Ed Bounds, Regional Director
71 Stevenson Street, Second Floor
San Francisco, CA 94105
(415) 848-6880
Information on Region 9.
 

Seattle Subregion

1111 Third Avenue, Suite 650
Seattle, WA 98101-3212
(206)398-8201
 

National Operations Office

Herman A. Cain, District Director
800 North Capitol Street NW, Room 800
Washington, D.C. 20211
(202) 513-6816

 

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Alabama

State of Alabama—http://www.state.al.us/gov/
Department of Industrial Relations—http://www.dir.state.al.us/
    Alice McKinney, Director
Workers' Compensation Division—http://www.dir.state.al.us/wc.htm
Industrial Relations Building
649 Monroe Street
Montgomery, Alabama 36131
(800) 528-5166, (334) 242-2868; Fax: (334) 261-3143; Fraud: (800) 923-2533; Ombudsman: (800) 528-5166, (334) 242-2868 (in Montgomery area)
    Scottie Spates, Chief, Administrative Section

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Alaska

State of Alaska—http://www.state.ak.us/
Department of Labor and Workforce Development -- http://www.labor.state.ak.us/
Workers' Compensation Division—http://labor.state.ak.us/wc/home.htm
Post Office Box 25512
Juneau, Alaska 99802-5512
(907) 465-2790; Fax: (907) 465-2797
    Paul L. Grossi, Director, (907) 465-6046, Fax: (907) 465-2797, Paul_Grossi@labor.state.ak.us
    Mark R. Torgerson, Chief of Adjudications, (907) 269-4982,  mark_torgerson@labor.state.ak.us

Workers' Compensation Board—http://labor.state.ak.us/wc/home.htm
Department of Labor
Post Office Box 25512
M/S 0700
Juneau, Alaska 99802-5512
(907) 465-2790, Fax: (907) 465-2797
    Commissioner of Labor Ed Flanagan, Chairman  Commissioner_Labor@labor.state.ak.us
    John A. Abshire, At Large/Labor
    Valerie K. Baffone, 3rd Judicial District/Labor
    Dorothy Bradshaw, 2nd/4th Judicial District/Industry
    John Giuchici, 2nd/4th Judicial District/Labor
    Paul Grossi, Commissioner of Labor or his designee
    Steve Hagedorn, 3rd Judicial District/Industry
    Harriet M. Lawlor, 3rd Judicial District/Labor
    Andrew J. Piekarski, 3rd Judicial District/Labor
    Nancy Jo Ridgley, 1st Judicial District/Labor
    Florence S. Rooney, 3rd Judicial District/Industry
    Marc D. Stemp, At Large/Industry
    Philip E. Ulmer, 3rd Judicial District/Industry
    James G. Williams, 1st Judicial District/Industry

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Arizona

State of Arizona—http://www.state.az.us/
Industrial Commission of Arizona—http://www.ica.state.az.us/
800 West Washington
Phoenix, Arizona 85007
    or
Post Office Box 19070
Phoenix, Arizona 85005-9070
(602) 542-4411, Fax: (602) 542-7889; Ombudsman: (602) 542-4538, Fax: (602) 542-4350
    Gay Conrad Kruglick, Chairman
    Mike Petchel, Vice Chairman
    Jean-Pierre Angelchick, M.D., Commissioner
    Sandy Grunow, Commissioner
    Lou Rodriguez, Commissioner
    Larry J. Etchechury, Director
    Teresa Hilton, Secretary

Industrial Commission Review Board

State Compensation Fund—http://www.statefund.com/
3031 North Second Street
Phoenix, Arizona 85012
(602) 631-2000; Fax: (602) 631-2213
    Donald A. Smith, Jr., President and CEO

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Arkansas

State of Arkansas—http://www.state.ar.us/
Workers' Compensation Commission—http://www.awcc.state.ar.us/
4th & Spring Streets
Post Office Box 950
Little Rock, Arkansas 72203-0950
(800) 622-4472, (501) 682-3930; Fax: (501) 682-2777; Legal Advisor Direct: (800) 250-2511; TDD: (800) 285-1131
Arkansas Relay System TDD: (800) 285-1131
    Eldon F. Coffman, Chairman  ecoffman@awcc.state.ar.us
    Pat West Humphrey, Commissioner  humphrey@awcc.state.ar.us
    Michael K. Wilson, Commissioner
    Julie Benafield Bowman, Chief Executive Officer  jbowman@awcc.state.ar.us
    James W. Daniel, Assistant Chief Executive Officer  jdaniel@awcc.state.ar.us

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California

State of California—http://www.ca.gov/
Department of Industrial Relations—http://www.dir.ca.gov/
    Stephen J. "Steve" Smith, Director
Commission on Health and Safety and Workers' Compensation (CHSWC)—http://www.dir.ca.gov/CHSWC/chswc.html
455 Golden Gate Avenue, 10th Floor
San Francisco, California 94102
(415) 557-1304, Fax: (415) 703-4234, E-mail: chswc@hq.dir.ca.gov
Commission Members:
2000 Chairman Tom Rankin, Labor Representative
    Jill Dulich, Employer Representative
    Leonard C. McLeod, Labor Representative
    Gerald O'Hara, Labor Representative
    Kristen Schwenkmeyer, Employer Representative
    Robert B. Steinberg, Employer Representative
    Darrel "Shorty" Thacker, Labor Representative
    John Wilson, Employer Representative
    Christine Baker, Executive Officer, (415) 703-4220, Fax: (415) 703-4234

Division of Workers' Compensation (DWC)—http://www.dir.ca.gov/DWC/dwc_home_page.htm
455 Golden Gate Avenue, 9th Floor
San Francisco, California 94102-3660
    or
Post Office Box 420603
San Francisco, California 94142
E-mail: dwc@dir.ca.gov
(800) 736-7401, (415) 703-4600 ; Fax: (415) 703-3971
    Richard P. Gannon, Administrative Director
    Peggy W. Sugarman, Chief Deputy Administrative Director
    Richard W. Younkin, Assistant Chief
Download free fillable PDF (Portable Document Format) versions of California workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Medical Council (IMC)—http://www.dir.ca.gov/IMC/imchp.html
Post Office Box 8888
San Francisco, California 994128-8888
(800) 794-6900 (in California), (650) 737-2000
    D. Allan MacKenzie, M.D., Executive Medical Director

Workers' Compensation Appeals Board (WCAB)—http://www.dir.ca.gov/WCAB/wcab.htm
455 Golden Gate Avenue, 2nd Floor
San Francisco, California 94102-3660
    or
Post Office Box 429459
San Francisco, California 94142-9459
(415) 975-0700
    Vacant, Chairman
    Robert E. Burton, Commissioner
    Colleen S. Casey, Commissioner
    Robert Ruggles, Commissioner
    Vacant, Commissioner
    Vacant, Commissioner
    Vacant, Commissioner

Self-Insurance Plans (SIP)—http://www.dir.ca.gov/SIP/sip.html
2265 Watt Avenue, Suite 1
Sacramento, California 95825
(916) 483-3392; Fax: (916) 483-1535, E-mail: SIP@dir.ca.gov
    Mark Ashcraft, Manager
    Ken Swanson, Audit Supervisor

State Compensation Insurance Fund (SCIF)—http://www.scif.com/
1275 Market Street
San Francisco, California 94103
(415) 565-1234, Claims Reporting Service (toll free): (888) 222-3211
    Kenneth C. Bollier, President

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Colorado

State of Colorado—http://www.state.co.us/
Department of Labor & Employment—http://www.coworkforce.com/
    Vickie L. Armstrong, Executive Director, (303) 620-4700
Division of Workers' Compensation—http://www.coworkforce.com/DWC/
1515 Arapahoe Street
Tower 2, Suite 500
Denver, Colorado 80202-2117
(888) 390-7936, (800) 685-0891 (Spanish), (303) 575-8700, Fax: (303) 575-8882, E-mail: workers.comp@state.co.us
    Mary Ann Whiteside, Director, (303) 575-8814
    Jacquelin A. Calvert, Deputy Director, (303) 575-8843
Download free fillable PDF (Portable Document Format) versions of Colorado workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Industrial Claims Appeals Office
    Workers' Compensation: (303) 620-4277
    Unemployment Insurance: (303) 620-4272
1515 Arapahoe Street
Tower 2, Suite 350
Denver, Colorado 80202
(303) 894-2378
    Dona Halsey, Director

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Connecticut

State of Connecticut—http://www.state.ct.us/index.asp
Workers' Compensation Commission—http://wcc.state.ct.us/
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(860) 493-1500, Fax: (860) 247-1361
    John A. Mastropietro, Chairman
    John A. Arcudi, Commissioner
    Robin W. Waller, Commissioner
    Darius J. Spain, Commissioner
    Frank J. Verrilli, Commissioner
    A. Thomas White, Jr., Commissioner
    James J. Metro, Commissioner
    George A. Waldron, Commissioner
    Angelo L. dos Santos, Commissioner
    Donald H. Doyle, Jr., Commissioner
    Nancy A. Brouillet, Commissioner
    Linda Blenner-Johnson, Commissioner
    Amado J. Vargas, Commissioner
    Michael S. Miles, Commissioner
    Robin L. Wilson, Commissioner
    Leonard S. Paoletta, Commissioner
    Marvin L. Smernoff, Chief Administrative Officer
Download free fillable PDF (Portable Document Format) versions of Connecticut workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Compensation Review Board (CRB)—http://wcc.state.ct.us/index2.htm
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(203) 493-1500, Fax: (203) 247-1361
    Jesse M. Frankl, Chairman
    Michael S. Miles, Commissioner
    Donald H. Doyle, Jr., Commissioner

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Delaware

State of Delaware—http://delaware.gov/
Department of Labor—http://www.delawareworks.com/
4425 North Market Street
Wilmington, Delaware 19802
    Lisa Blunt-Bradley, Secretary, (302) 761-8000, Fax: (302) 761-6621
Division of Industrial Affairs—http://www.delawareworks.com/divisions/industaffairs/diaindex.html
4425 North Market Street
Wilmington, Delaware 19802
    Karen Peterson, Director, (302) 761-8176, Fax: (302) 761-6601, kpeterson@state.de.us
Office of Workers' Compensation—http://www.delawareworks.com/divisions/industaffairs/workers.comp.htm
State Office Building, Sixth Floor
820 North French Street
Wilmington, Delaware 19801
(302) 761-8200, Fax: (302) 577-3750
    John F. Kirk, III, Administrator
    Karen W. Wright, Chair
    Jesse I. Hastings, Member
    James P. Robinson, III, Member
    Richard L. Stone, Member
    Arthur Episcopo, Member
    Jerome Donohue, Member
    Irving Levitt, Member
    Armand Cocco, Sr., Member
    Jane Mitchell, Member
    R. Howard Seward, Member

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District of Columbia

District of Columbia—http://www.dc.gov/
Department of Employment Services—http://does.ci.washington.dc.us/
Office of Workers' Compensation—http://does.dc.gov/does/cwp/view,a,1232,q,537428.asp
1200 Upshur Street, NW
Post Office Box 56098
Washington, District of Columbia 20011
(202) 576-6265, Fax: (202) 541-3595
    Delores Hollingsworth, Director
    Charles Green, Associate Director

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Florida

State of Florida—http://www.myflorida.com/
Department of Labor and Employment Security—http://www2.myflorida.com/les/
    Mary Butler Hooks, Secretary
Division of Workers' Compensation—http://www2.myflorida.com/les/wc/
301 Forrest Building
2728 Centerview Drive
Tallahassee, Florida 32399-0680
(850) 488-2514; Fax: (850) 922-6779; Fraud: (800) 742-2214 (in Florida) (Department of Insurance Bureau of Workers' Compensation Fraud: (850) 922-3116); Safety: (800) 367-4378 (in Florida), (850) 488-3044
    Charles D. Williams, Director
        (850) 488-2514
    Linda Knopf, Assistant Director
Download free fillable PDF (Portable Document Format) versions of Florida workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Workers' Compensation Oversight Board—http://www.fldfs.com/wc/
100 Marathon Building
2574 Seagate Drive
Tallahassee, Florida 32399-2152
(850) 487-2613, SunCom: 277-2613; Fax: (850) 487-3232
    Laura Roesch, Chairman
    Dan Reynolds, Vice Chairman
    Julie Douthit, Executive Director julie_douthit@fdles.state..fl.us

Office of Judges of Compensation Claims—http://www.jcc.state.fl.us/jcc/
180 Rhyne Building 
2740 Centerview Drive 
Tallahassee, Florida 32399-0655
(850) 488-2043, Fax: (850) 922-3661
    Shirley A. Walker, Chief Judge

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Georgia

State of Georgia—http://www.state.ga.us/
Georgia State Board of Workers' Compensation—http://www.ganet.org/sbwc/
270 Peachtree Street, NW
Atlanta, Georgia 30303-1299
(800) 533-0682, (404) 656-3875, Fax: (404) 656-7768, Fraud/Compliance: (404) 657-1391, Safety Library: (404) 656-9057
    Carolyn Hall, Chairman, (404) 656-2034
    Mark Dickerson, Director, (404) 656-2036
    Vicki L. Snow, Director, (404) 656-2038
    Julie John, Executive Director, (404) 656-2048
Download free fillable PDF (Portable Document Format) versions of Georgia workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

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Hawaii

State of Hawaii—http://www.hawaii.gov/
Department of Labor & Industrial Relations (DLIR)—http://dlir.state.hi.us/
    Lorraine H. Akiba, Director
830 Punchbowl Street
Honolulu, HI 96813
E-mail: akiba@aloha.net

Disability Compensation Division—http://www.state.hi.us/lrb/dir/dlir.pdf
830 Punchbowl Street, Room 209
Honolulu, Hawaii 96813
(808) 586-9151, Fax: (808) 586-9219
    Keith W. Ahue, Director
    Gary Hamada, Administrator

Labor & Industrial Relations Appeals Board
888 Mililani Street, Room 400
Honolulu, Hawaii 96813
(808) 586-8600
    Frank Yap, Chairman
    Charles Kama, Member

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Idaho

State of Idaho—http://www2.state.id.us/
Industrial Commission—http://www2.state.id.us/iic/index.html
317 Main Street
Post Office Box 83720
Boise, Idaho 83720-0041
(800) 950-2110, (208) 334-6000; Fax: (208) 334-2321; TDD: (800) 950-2110
    Rachel S. Gilbert, Chairman (employer representative)
    James F. Kile, Commissioner (attorney representative)
    R. D. Maynard, Commissioner (employee representative)
    Gary Stivers, Director
    Patricia Ramey, Secretary

State Insurance Fund—http://www2.state.id.us/isif/index.htm
1215 West State Street
Post Office Box 83720
Boise, Idaho 83720-0044
(800) 334-2370, (208) 334-2370 (in the Boise area); Fax: (208) 334-2262 (Policyholder Services, Administration, Management Services, Legal), (208) 334-3253 (Claims), (208) 334-3254 (Underwriting); Fraud: (800) 448-ISIF (4743)
E-mail addresses:
    Claims: Claims@isif.state.id.us
    Customer Service Center: CustomerService@isif.state.id.us
    Fraud: Claims@isif.state.id.us
    General Information/News Media Inquiries: abunch@isif.state.id.us
    Management Services: ManagementServices@isif.state.id.us
    Manager's Office: Administration@isif.state..id.us
    Policyholder Services: PHS@isif.state.id.us
    Underwriting: Underwriting@isif.state.id.us

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Illinois

State of Illinois—http://www.illinois.gov/
Industrial Commission—http://www.state.il.us/agency/iic/
100 West Randolph Street, Suite 8-200
Chicago, Illinois 60601
(312) 814-6611, Fax: (312) 814-6523
    John W. Hallock, Jr., Chairman
    Richard Gilgis, Commissioner
    Barbara Sherman, Commissioner
    Douglas Stevenson, Commissioner
    Jacqueline A. Kinnaman, Commissioner
    Diane Dickett Smart, Commissioner
    Paul Rink, Commissioner
Download free fillable PDF (Portable Document Format) versions of Illinois workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Office of Self-Insurance Administration
701 South Second Street
Springfield, Illinois 62704
(217) 785-7084, Fax: (217) 785-6557
    Maria Sarli-Dehlin, Manager

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Indiana

State of Indiana—http://www.state.in.us/
Workers' Compensation Board of Indiana—http://www.state.in.us/wkcomp/index.html
Government Center South
402 West Washington Street, Room W-196
Indianapolis, Indiana 46204
(317) 232-3808; Claims/Statistics: (317) 233-4930; Fax: (317) 233-5493; Insurance: (317) 233-3910; Ombudsman: (800) 824-COMP (2667), (317) 232-5922
    G. Terrence Coriden, Chairman, (317) 232-3808
    Rogelio Dominquez, Member, (317) 232-5922
    Douglas Meagher, Member, (317) 233-5397
    Richard J. Noel, Member, (317) 233-3906
    Linda Powell, Member, (317) 233-3908
    John Rader, Member, (317) 233-3904
    Anne Thomas, Member, (317) 232-5922
    Sandy Cerimele Fralich, Executive Secretary, (317) 232-3809

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Iowa

State of Iowa—http://www.state.ia.us/
Iowa Workforce Development—http://www.iowaworkforce.org/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA, (515) 281-5387
    Richard V. Running, Director
Iowa Division of Workers' Compensation—http://www.state.ia.us/iwd/wc/index.html
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA (562-4692), (515) 281-5387; Fax: (515) 281-6501
E-mail: IWD.DWC@iwd.state.ia.us
    Iris J. Post, Workers' Compensation Commissioner
    Wade K. Travis, Assistant Workers' Compensation Commissioner
    Sharon K. Ortega, Administrative Secretary

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Kansas

State of Kansas—http://www.state.ks.us/
Department of Human Resources—http://www.hr.state.ks.us/
    Richard E. Beyer, Secretary
Kansas Workers' Compensation —http://www.hr.state.ks.us/wc/html/wc.htm
800 SW Jackson, Suite 600
Topeka, Kansas 66612-1227
(800) 332-0353, (785) 296-3441; Fax: (785) 296-0839; Fraud: (800) 332-0353, (785) 296-6392; Industrial Safety & Health: (800) 332-0353, (785) 296-4386; Ombudsman: (800) 332-0353, (785) 296-2996
    Philip S. Harness, Director

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Kentucky

Commonwealth of Kentucky—http://www.kydirect.net/
Kentucky Labor Cabinet—http://www.kylabor.net/
1047 U.S. 127S, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070
    Joe Norsworthy, Secretary, (502) 564-3070
Department of Workers' Claims—http://dwc.state.ky.us/
Perimeter Park West, Building C
1270 Louisville Road
Frankfort, Kentucky 40601
(502) 564-5550 (Administrative Services, Open Records); Fax: (502) 564-8250 (Administrative Services), (502) 564-9533 (Ombudsman), (502) 564-5732 (Open Records), (502) 564-0916 (Security and Compliance); Ombudsman: (800) 554-8601 (Frankfort), (800) 554-8603 (Paducah); Security and Compliance: (502) 564-0905
E-mail: kywc.ombudsman@mail.state.ky.us
    Walter W. Turner, Commissioner, (502) 564-5550, ext. 439, Fax: (502) 564-5934
    Willie H. Lile, Deputy Commissioner, (502) 564-5550, ext. 470, Fax: (502) 564-5934
    Steve Cox, General Counsel, (502) 564-5550

Workers' Compensation Board
    Dwight T. Lovan, Chairman, (502) 687-7339, Fax: (502) 687-7402
    Jonathan L. Stanley, Member, (502) 564-5550
    John A. Gardner, Member, (502) 564-5550

Workers' Compensation Funding Commission
#42 Millcreek Park
Post Office Box 1220
Frankfort, Kentucky 40602-1220
(502) 573-3505, Fax: (502) 573-4923
    Jon E. Nielsen, Executive Director
    Frank Dickerson, General Counsel

Kentucky Workers' Compensation Law (via CompEd, Inc.)—http://www.comped.net/

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Louisiana

State of Louisiana—http://www.state.la.us/
Department of Labor—http://www.ldol.state.la.us/
    Garey Forster, Secretary of Labor
Office of Workers' Compensation Administration—http://www.ldol.state.la.us/sec2owca.asp
1001 North 23rd Street
Baton Rouge, Louisiana 70802
Post Office Box 94040
Baton Rouge, Louisiana 70804-9040
(800) 824-4592, (504) 342-7555, Fax: (504) 342-5665
    Don Boudreaux, Assistant Secretary of Labor

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Maine

State of Maine—http://www.state.me.us/
Workers' Compensation Board—http://www.state.me.us/wcb/
27 State House Station
Augusta, Maine 04333
(207) 287-7096; Fax: (207) 287-7198
Management Representatives
    Barbara Longfellow, Chair, (207) 287-7090
    David M. Gauvin, Board Member, (207) 287-7090
Labor Representatives
    Frederick T. Hayes, Board Member, (207) 287-7071
    Joan R. Kirkpatrick, Board Member, (207) 287-7071
    Patricia Lemaire, Board Member, (207) 287-7071
    Anthony Monfiletto, Board Member, (207) 287-7071

    Paul R. Dionne, Executive Director, (207) 287-7096
    John Jolicoeur, Deputy Director, Business Services
    Steven P. Minkowsky, Deputy Director, Monitoring, Audit, and Enforcement Program
    Isabella Tighe, Deputy Director, Office of Medical Rehabilitation Services
    John Rohde, General Counsel, (207) 287-7096
Download free fillable PDF (Portable Document Format) versions of Maine workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

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Maryland

State of Maryland—http://www.state.md.us/
Maryland Workers' Compensation Commission—http://www.charm.net/~wcc/
10 East Baltimore Street
Baltimore, Maryland 21202
(800) 492-0479, (410) 864-5100; Fax: (410) 333-8122
    Thomas Patrick O'Reilly, Chairman
    Charles S. Krysiak, Commissioner
    Sheldon Press, Commissioner
    Richard Teitel, Commissioner
    Jacques Leeds, Commissioner
    G. Joseph Sills, Jr., Commissioner
    J. Max Millstone, Commissioner
    Robert S. Redding, Commissioner
    Richard La Fata, Commissioner
    Stephen Rosenbaum, Commissioner
    R. Rex Brookshire, II, Director of Administration

Insured Workers' Insurance Fund—http://www.iwif.com/
8722 Loch Raven Boulevard
Towson, Maryland 21286-2235
(800) 492-0197, (410) 494-2200 Fax: (410) 494-2001
    John Howard Burbage, Chairman
    Gregory D. Chasney, Member
    Joseph M. Coale III, Member
    Stephanie L. Fink, Member
    Louise T. Keelty, Member
    Donald W. Potter, Member
    Theo C. Rodgers, Member
    Paul M. Rose, President and Chief Executive Officer
    Michael A. Exum, Executive Vice President

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Massachusetts

Commonwealth of Massachusetts—http://www.mass.gov/
Department of Industrial Accidents—http://www.state.ma.us/dia/
600 Washington Street, 7th Floor
Boston, Massachusetts 02111
(800) 323-3249, (617) 727-4900; Fax: (617) 727-6477; TTY: (800) 224-6196
   Thomas J. Griffin, III, Commissioner
   Priscilla J. Conant, Deputy Commissioner
   Jerome E. Shea, Director of Administration
   Daniel O'Shea, Senior Judge
Download free fillable PDF (Portable Document Format) versions of Massachusetts workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Massachusetts Workers' Compensation Advisory Council—http://www.state.ma.us/wcac/wcac.html
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(617) 727-4900 x378,Fax: (617) 727-7122
    William H. Carnes, Chairman
    Edmund C. Corcoran, Jr., Vice Chairman
    Denise A. Lucciola, MPH, Executive Director  denisel@dia.state.ma.us

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Michigan

State of Michigan—http://www.michigan.gov/
Department of Consumer & Industry Services—http://www.cis.state.mi.us/home.htm
G. Mennen William Building
525 W. Ottawa
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820
    Kathleen M. Wilbur, Director
Bureau of Workers' Disability Compensation—http://www.cis.state.mi.us/wkrcomp/bwdc/home.htm
7150 Harris Drive
Post Office Box 30016
Lansing, Michigan 48909
(517) 322-1296, Fax: (517) 322-1808, TDD in Lansing: (517) 322-5987
    Jack F. Wheatley, Director jack.wheatley@cis.state.mi.us
    Bruno R. Czyrka, Deputy Director, (517) 322-1106, Fax: (517) 322-6689, bruno.czyrka@cis.state.mi.us
    Craig R. Petersen, Deputy Director, (517) 322-1088, Fax: (517) 322-6689, craig.petersen@cis.state.mi.us
Download free fillable PDF (Portable Document Format) versions of Michigan workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Board of Magistrates—http://www.cis.state.mi.us/wkrcomp/bmag/home.htm
Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380, Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987
    Vacant, Chairman

Workers' Compensation Appellate Commission—http://www.cis.state.mi.us/wkrcomp/wcac/home.htm
Victor Office Center, Third Floor
201 North Washington Square
Post Office Box 30468
Lansing, Michigan 48909-7968
(517) 335-5828, Fax: (517) 335-5829
    J&#uuml;rgen Skoppek, Chairman

Michigan Economic Development Corporationhttp://www.michigan.org/
201 North Washington Square
Lansing, Michigan 48913
(517) 373-9808
    Doug Rothwell, President and CEO
    Sabrina Keeley, Chief Operating Officer
    Michigan Business Guide to Workers' Compensation—http://medc.michigan.org/services/workerscomp/
Compensation Cost Control Service
Victor Office Center, Fourth Floor
201 North Washington Square
Lansing, Michigan 48909-7968
(517) 373-9809, Fax: (517) 241-3689

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Minnesota

State of Minnesota—http://www.state.mn.us/
Department of Labor & Industry—http://www.doli.state.mn.us/
443 Lafayette Road
St. Paul, Minnesota 55155
(651) 284-5005 or (800) DIAL-DLI (1-800-342-5354); TTY: (651) 297-4198
    Scott Brener, Commissioner

Workers' Compensation Division—http://www.doli.state.mn.us/workcomp.html
443 Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI (1-800-342-5354), (651) 284-5005; Fax: (651) 284-5727; Fraud: 1 (888) 372-8366, (651) 284-5747
E-mail: DLI.Workcomp@state.mn.us; Fraud: DLI.ISU@state.mn.us
    Beth Hargarten, Assistant Commissioner

Workers' Compensation Court of Appeals—http://www.workerscomp.state.mn.us/
405 Minnesota Judicial Center
25 Constitution Avenue
St. Paul, Minnesota 55155
(651) 296-6526, Fax: (651) 297-2520, TTY/TDD: (800) 627-3529
    Steven D. Wheeler, Chief Judge
    Thomas L. Johnson, Judge
    William R. Pederson, Judge
    Miriam P. Rykken, Judge
    Debra A. Wilson, Judge

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Mississippi

State of Mississippi—http://www.state.ms.us/
Mississippi Workers' Compensation Commission—http://www.mwcc.state.ms.us/
STREET ADDRESS:
    1428 Lakeland Drive
    Jackson, Mississippi 39216
MAILING ADDRESS:
    Post Office Box 5300
    Jackson, Mississippi 39296-5300
(601) 987-4200, Fraud: (601) 359-4250
    Ben Barrett Smith, Chairman, (601) 987-4258,  bsmith@mwcc.state.ms.us
    Barney Schoby, Commissioner, (601) 987-4254,  bschoby@mwcc.state.ms.us
    Beverly A. Bolton, (601) 987-4256,  bbolton@mwcc.state.ms.us
    Ray C. Minor, Executive Director, (601) 987-4205,  rminor@mwcc.state.ms.us
    Jo Ann McDonald, Commission Secretary, (601) 987-4200,  jmcdonald@mwcc.state.ms.us

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Missouri

State of Missouri—http://www.state.mo.us/
Department of Labor and Industrial Relations—http://www.dolir.state.mo.us/dolir1a.htm
3315 West Truman Boulevard
Jefferson City, Missouri 65102
    OR
Post Office Box 504
Jefferson City, Missouri 65102-0504
(573) 751-9691, Fax: (573) 751-4135
    Thomas J. Pfeiffer, Acting Director, (573) 751-9691, Fax: (573) 751-4135

  • Division of Workers' Compensation—http://www.dolir.state.mo.us/wc/index.htm
    STREET ADDRESS:
        3315 West Truman Boulevard
        Jefferson City, Missouri 65102
    MAILING ADDRESS:
        Post Office Box 58
        Jefferson City, Missouri 65102-0058
    (573) 751-4231, Fax: (573) 751-2012, Employee Hotline: (800) 775-2667, Fraud and Noncompliance: (800)-592-6003, (573)-526-6630
        Jo Ann Karll, Director, (573) 751-4231, Fax: (573) 751-2012
    Download free fillable PDF (Portable Document Format) versions of Missouri workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

  • Labor and Industrial Relations Commission—http://www.dolir.state.mo.us/lirc/index.htm
    STREET ADDRESS:
        3315 West Truman Boulevard
        Jefferson City, Missouri 65102
    MAILING ADDRESS:
        Post Office Box 599
        Jefferson City, Missouri 65102-0599
    (573) 751-2461, Fax: (573) 751-7806
        Christopher S. Kelly, Chairman
        Matthew W. O'Neill, Commissioner
        Chris Wrigley, Commissioner
        Pamela M. Hofmann, Secretary
        Victorine R. Mahon, Chief Counsel

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Montana

State of Montana—http://www.state.mt.us/
Montana State Compensation Insurance Fund—http://stfund.state.mt.us/
STREET ADDRESS:
    5 South Last Chance Gulch
    Helena, Montana 59601
MAILING ADDRESS:
    Post Office Box 4759
    Helena, Montana 59604-4759
(406) 444-6500, Customer Service: (800) 332-6102, Claim Reporting: (800) 243-9121, Fraud Reporting: (888) 682-7463
    Laurence A. Hubbard, President/CEO

Workers' Compensation Court—http://wcc.dli.state.mt.us/
STREET ADDRESS:
    1625 11th Avenue
    Helena, Montana
MAILING ADDRESS:
    Post Office Box 537
    Helena, Montana 59624-0537
(406) 444-7794, Fax: (406) 444-7798
E-mail: pkessner@state.mt.us
    Mike McCarter, Judge

Employment Relations Division—http://erd.dli.state.mt.us/
Department of Labor & Industry—http://dli.state.mt.us/
Post Office Box 8011
Helena, Montana 59624
(406) 444-6530, Fax: (406) 444-4140, Fraud: (800) 922-2873
    Pat Haffey, Commissioner, (406) 444-9091
    Chuck Hunter, Administrator

Self Insurers' Guaranty Fund
Post Office Box 4133
Missoula, Montana 59806
(406) 549-8849
    George Wood, Director

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Nebraska

State of Nebraska—http://www.state.ne.us/
Workers' Compensation Court—http://www.nol.org/home/WC/
State House, 13th Floor
Post Office Box 98908
Lincoln, Nebraska 68509-8908
(800) 599-5155 (in Nebraska only), (402) 471-6468 (Lincoln and out of state), Fax: (402) 471-2700
    Laureen K. Van Norman, Presiding Judge
    James K. Coe, Judge
    Paul E. LeClair, Judge
    Ronald L. Brown, Judge
    Joseph S. Ramirez, Judge
    Michael P. Cavel, Judge
    J. Michael Fitzgerald, Judge
    Carol Thompson, Administrator

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Nevada

State of Nevada -- http://silver.state.nv.us/

Department of Business & Industry -- http://dbi.state.nv.us/
In Northern Nevada: 
788 Fairview Avenue, Suite 100
Carson City, Nevada 89701-5491
(775) 687-4250, Fax: (775) 687-4266

In Southern Nevada: 
555 E. Washington Avenue, Suite 4900
Las Vegas, Nevada 89101
(702) 486-2750, Fax: 702-486-2758

Division of Industrial Relations -- http://dirweb.state.nv.us/
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 687-3032, Fax: (775) 687-6305
    D. Roger Bremner, Administrator rbremner@govmail.state.nv.us
    John Laxalt, Assistant Administrator jplaxalt@govmail.state.nv.us

Industrial Insurance Regulation Section -- http://dirweb.state.nv.us/WCS/wcs.htm
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 687-3033, Fax: (775) 687-6305

1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89014
(702) 486-9080, Fax: (702) 990-0364
    Charles J. Verre, Chief Administrative Officer, (702) 486-9087, cverre@govmail.state.nv.us

Nevada Attorney for Injured Workers -- http://www.state.nv.us/b&i/aiw/
1000 East William Street, Suite 213
Carson City, Nevada 89710
(775) 687-4076, Fax: (775) 687-4134
E-mail: NAIW@govmail.state.nv.us
    Nancyann Leeder, Nevada Attorney for Injured Workers

Employers Insurance Company of Nevada -- http://www.employersinsco.com/
515 East Musser Street 
Carson City, Nevada 89714
(775) 886-1000; Claim Reporting: (888) 900-1455, Fax: (775) 327-2701; Underwriting/Insurance Services: (888) 682-6671 
E-mail: info@eicn.com
    Douglas D. Dirks, President, Chief Executive Officer
    Ann Nelson, Executive Vice President, Corporate Secretary, General Counsel
    Cecilia Colling, Executive Vice President, Governmental and Consumer Affairs
    Eileen J. Boosales, Executive Vice President, Treasurer, Chief Financial Officer
    Lenard Ormsby, Executive Vice President, Chief Operating Officer

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New Hampshire

State of New Hampshire—http://www.state.nh.us/
Department of Labor—http://www.state.nh.us/dol/index.html
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3177
    James D. Casey, Commissioner
    David M. Wihby, Deputy Commissioner
Workers' Compensation Division—http://www.state.nh.us/dol/dol-wc/index.html
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3174 (claims), (603) 271-2042 (coverage), (603) 271-6172 (self-insurance), (603) 271-3328 (vocational rehabilitation)
    Kathryn J. Barger, Director
Download free fillable PDF (Portable Document Format) versions of New Hampshire workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

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New Jersey

State of New Jersey—http://www.state.nj.us/
Department of Labor—http://www.state.nj.us/labor/
John Fitch Plaza
Post Office Box 110
Trenton, New Jersey 08625
(609) 292-2323, Fax: (609) 633-9271
    Mark Boyd, Commissioner, (609) 292-2975, cmycoff@dol.state.nj.us
Division of Workers' Compensation—http://www.state.nj.us/labor/wc/Default.htm
Post Office Box 381
Trenton, New Jersey 08625-0381
(609) 292-2414, Fax: (609) 984-2515
    Paul A. Kapalko, Chief Judge & Director, (609) 292-2414, pkapalko@dol.state.nj.us
Download free fillable PDF (Portable Document Format) versions of New Jersey workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

N.J. Compensation Rating and Inspection Bureau—http://www.njcrib.com/
60 Park Place
Newark, New Jersey 07102
(973) 622-6014, Fax: (973) 622-6110
    Grover E. Czech, Executive Director, (973) 622-6014, ext. 213
    Louis A. "Tony" Georges, Associate Executive Director, (973) 622-6014, ext. 215
    Roland E. Brazda III, Director, Underwriting, (973) 622-6014, ext. 214
    Frederick A. Huber, Director, Actuarial, (973) 622-6014, ext. 223
    Salvatore A. Nardone, Director, Experience Rating, (973) 622-6014, ext. 216
    John T. Skidmore, Director, Policy Review, (973) 622-6014, ext. 217

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New Mexico

State of New Mexico—http://www.state.nm.us/
Workers' Compensation Administration—http://www.state.nm.us/wca/
Post Office Box 27198
Albuquerque, New Mexico 87125-7198
E-mail: Van.Cravens@state.nm.us
(800) 255-7965 (in-state only), (505) 841-6000, Fax: (505) 841-6009
    Paul D. Barber, Director
    George Lane, Assistant Director
    Laura Feight, Deputy Director for Administration
    Kenneth L. Payne, Deputy Director for Safety and Fraud
    Robert Aurbach, General Counsel
    Merilee Dannemann, Office of Policy Planning and Information (general contact for public information)
    Mark Llewellyn, Economic Research Bureau Chief
    Ned Fuller, Workers' Compensation Judge
    Gregory Griego, Workers' Compensation Judge
    Sara Harmon, Workers' Compensation Judge
    Terry Kramer, Workers' Compensation Judge
    Joan O'Connell, Workers' Compensation Judge
    Rosa Valencia, Workers' Compensation Judge
    Joseph Wiltgen, Workers' Compensation Judge

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New York

State of New York—http://www.state.ny.us/
New York State Workers' Compensation Board—http://www.wcb.state.ny.us/
100 Broadway-Menands
Albany, New York 12241
(518) 474-6670, Fax: (518) 473-1415
    Robert R. Snashall, Chairman
    Jeffrey R. Sweet, Vice Chairman
    Michael T. Berns, Member
    Raymond Charles, Member
    Karl A. Henry, Member
    Dr. Marjorie J. Hill, Member
    Julia R. Jorge, Member
    Lindy Korn Koren, Member
    Carol G. McManus, Member
    Carmine J. Perrotta, Member
    Carmine Ruberto, Member
    Walter Shields, Member
    Ferdinand Tremiti, Member
    Anthony M. Rudmann, Executive Director
    Katherine Loucks, Advocate for Business— (800) 628-3331
    Ronald Daniels, Advocate for Injured Workers—(800) 580-6665
Download free fillable PDF (Portable Document Format) versions of New York workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

New York State Insurance Fund—http://www.nysif.com/
199 Church Street
New York, New York 10007
(212) 312-9000, Fax: (212) 385-2073
    Henry Neal Conolly, Executive Director

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North Carolina

State of North Carolina—http://www.ncgov.com/
Department of Commerce—http://www.nccommerce.com/
    Jim Fain, Secretary
STREET ADDRESS:
    301 North Wilmington Street
    Raleigh, NC 27601
MAILING ADDRESS:
    4301 Mail Service Center
    Raleigh, NC 27699-4301
(919) 733-4151
E-mail: info@mail.commerce.state.nc.us

North Carolina Industrial Commission—http://www.comp.state.nc.us/
4319 Mail Service Center
Raleigh, North Carolina 27699-4319
(919) 807-2500, Fax: (919) 715-0282
    Buck Lattimore, Chairman, (919) 807-2525,  lattimob@ind.commerce.state.nc.us
    Bernadine S. Ballance, Commissioner, (919) 807-2511,  ballancb@ind.commerce.state.nc.us
    Thomas J. Bolch, Commissioner, (919) 807-2516,  bolcht@ind.commerce.state..nc.us
    Laura Kranifeld Mavretic, Commissioner, (919) 807-2521,  mavretil@ind.commerce.state.nc.us
    Renée C. Riggsbee, Commissioner, (919) 807-2517,  riggsbee@ind.commerce.state.nc.us
    Christopher Scott, Commissioner, (919) 807-2513,  scottc@ind.commerce.state..nc.us
    Dianne C. Sellers, Commissioner, (919) 807-2523,  sellersd@ind.commerce.state.nc.us
    Buck Lattimore, Administrator, (919) 807-2525,  lattimob@ind.commerce.state.nc.us

    Fraud Investigations Section: (888) 891-4895 (in North Carolina)—http://www.comp.state.nc.us/ncic/pages/fraud.htm
    Ombudsman Section: (800) 688-8349—http://www.comp.state.nc.us/ncic/pages/ombudsmn.htm

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North Dakota

State of North Dakota—http://discovernd.com/
North Dakota Workers' Compensation—http://www.ndworkerscomp.com/
500 East Front Avenue
Bismark, North Dakota 58504-5685
(800) 777-5033, (701) 328-3800, Fax: (701) 328-3820
    Paul Kramer, Executive Director/CEO

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Ohio

State of Ohio—http://ohio.gov/
The Ohio Bureau of Workers' Compensation—http://www.bwc.state.oh.us/
30 West Spring Street
Columbus, Ohio 43266-0581
E-mail: BWCsummit@OhioBWC.com
(800) OHIOBWC, (614) 466-1320, Fax: (614) 752-9021
    James Conrad, Administrator/Chief Executive Officer

Industrial Commission of Ohio—http://www.ic.state.oh.us/
30 West Spring Street
Columbus, Ohio 43266-0581
(800) 521-2691, (614) 466-6136, Fax: (614) 752-8304
    William E. Thompson, Chairman
    Patrick J. Gannon, Member
    Barbara Knapic, Member

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Oklahoma

State of Oklahoma—http://www.state.ok.us/
Department of Labor—http://www.oklaosf.state.ok.us/~okdol/
4001 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105-5212
(888) 269-5353, (405) 528-1500 Fax: (405) 528-5751
    Brenda Reneau Wynn, Commissioner
Workers' Compensation Division—http://www.oklaosf.state.ok.us/~okdol/workcomp/index.htm
    Johnny Coleman, Division Director

Workers' Compensation Court—http://www.oklaosf.state.ok.us/osfdocs/budget/bb96-369.html
Denver N. Davison Building
1915 North Stiles
Oklahoma City, Oklahoma 73105
(405) 522-8600, Fax: (405) 522-8683 (2nd floor offices), (405) 522-8651 (records department), (405) 522-8687 (administration)
    Kenton W. Fulton, Presiding Judge
    D. Craig Johnston, Vice Presiding Judge
    Jerry L. Salyer, Judge
    Susan Witt Conyers, Judge
    Richard L. Blanchard, Judge
    Ellen C. Edwards, Judge
    Cherri Farrar, Judge
    Richard G. Mason, Judge
    Jim D. Filosa, Judge
    Gene Prigmore, Judge
    Marcia Davis, Administrator

The State Insurance Fund
Post Office Box 53505
Oklahoma City, Oklahoma 73152
(405) 232-7663, Fax: (405) 858-3242
    Vacant, Commissioner
    Ron Kreiter, General Counsel to the Board
Board of Managers:
    David Atkinson, Chairman
    Gene Rainbolt, Vice Chairman
    Tom Volturo, Secretary
    Ed Phillips, Member
    Clark James, Member
    Mary Fallin, Member
    Ross Johnson, Member
    Tom Daxon, Member
    Douglas Fox, Member

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Oregon

State of Oregon—http://www.state.or.us/
Department of Consumer & Business Services—http://www.cbs.state.or.us/
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4100, Fax: (503) 378-6444
    Mary Neidig, Director, (503) 378-4100, DCBS.Director@state.or.us
    Deborah Lincoln, Deputy Director, (503) 947-7873

Workers' Compensation Division —http://www.cbs.state.or.us/wcd/
350 Winter Street NE, Room 27
Salem, Oregon 97301-3879
(800) 452-0288 (Workers' Compensation Infoline); (503) 947-7810, Fax: (503) 947-7514; TTY: (503) 947-7993; Fraud Hotline: (800) 422-8778 (in Oregon); Small Business Ombudsman: (503) 378-4209, Fax: (503) 373-7639; Ombudsman for Injured Workers: (800) 927-1271, (503) 378-3351, Fax: (503) 373-7639
    John L. Shilts, Administrator, (503) 947-7500, Fax: (503) 947-7514, dcbs.wcdmail@state.or.us
    Tom Mattis, Deputy Administrator

Workers' Compensation Board—http://www.cbs.state.or.us/wcb/
2601 25th Street SE, Suite 150
Salem, Oregon 97302-1282
(503) 378-3308
    Maureen Bock, Chairman
    Sandra K. Haynes, Member
    Frank J. Biehl, Member
    Jodie Phillips Polich, Member
    Cathy Meyers, Member

Workers' Compensation Management-Labor Advisory Committee—http://www.cbs.state.or.us/mlac/
Department of Consumer & Business Services
350 Winter Street, Room 200
Salem, Oregon 97301-3878
(503) 947-7867; Fax: (503) 378-6444
    Labor Representatives:
    Ken Allen, AFSCME
    John Kirkpatrick, IUPAT District Council #5
    Mike O'Rourke, Plumbing & Steamfitters UA 290
    Bob Shiprack, Oregon Building Trades Council
    Brad Witt, Oregon AFL-CIO
    Management Representatives:
    Ken Hector, CNF Service Company
    James McClain
    Sheri Sundstrom, Hoffman Construction Company of Oregon
    Lisa Trussell, Associated Oregon Industries
    J. L. Wilson, NFIB/Oregon
    Bill Braly, Administrator, Bill.Braly@state.or.us

Ombudsman for Injured Workers—http://www.cbs.state.or.us/external/wco/index.html
350 Winter Street NE, Room 160
Salem, Oregon 97310
(800) 927-1271, (503) 378-3351
    Maria A. Carraher, Ombudsman for Injured Workers Maria.A.Carraher@state.or.us

Ombudsman for Small Business—http://www.cbs.state.or.us/external/sbo/index.html
350 Winter Street NE
Salem, Oregon 97301-3878
(503) 378-4209, V/TTY: (503) 378-4100
    John R. Booton, Small Business Ombudsman John.R.Booton@state.or.us

SAIF Corporation—http://www.saif.com/
400 High Street SE
Salem, Oregon 97312-1000
(800) 285-8525, (503) 373-8000
    Katherine Keene, President and CEO
    Jon Egge, Chairman, Board of Directors

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Pennsylvania

State of Pennsylvania—http://www.state.pa.us/
Department of Labor and Industry—http://www.dli.state.pa.us/
Bureau of Workers' Compensation—http://www.dli.state.pa.us/
1171 South Cameron Street, Room 103
Harrisburg, Pennsylvania 17104-2501
(800) 482-2383 (claims helpline), (717) 772-3702 (employer helpline), TDD: (800) 362-4228
    Richard Himler, Director
Download free fillable PDF (Portable Document Format) versions of Pennsylvania workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

State Workmen's Insurance Fund
100 Lackawanna Avenue
Scranton, Pennsylvania 18503
(717) 963-4630
    John P. O'Malley, Director

Workmen's Compensation Appeal Board
1171 South Cameron Street, Room 305
Harrisburg, Pennsylvania 17104-2511
(717) 783-7838
    A. Peter Kanjorski, Chairman
    William J. Atkinson, Commissioner
    William R. Davis, Commissioner
    Harold V. Fergus, Jr., Commissioner
    George F. Pott, Commissioner
    C. John Urling, Jr., Commissioner
    J. Douglas Wolfe, Commissioner

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Rhode Island

State of Rhode Island—http://www.state.ri.us/
Workers' Compensation Court
One Dorrance Plaza
Providence, Rhode Island 02903
(401) 277-3097, Fax: (401) 421-3123
    Robert F. Arrigan, Chief Judge
    William G. Gilroy, Judge
    John Rotondi, Jr., Judge
    Andrew E. McConnell, Judge
    Carmine A. Rao, Judge
    Constance L. Mossore, Judge
    George E. Healy, Jr., Judge
    Debra L. Olsson, Judge
    Bruce Q. Morin, Judge
    Janette A. Bertness, Judge
    Dennis I. Revens, Administrator
    Kenneth D. Haupt, Deputy Administrator

Department of Labor and Training—http://www.dlt.state.ri.us/
1511 Pontiac Avenue
Cranston, Rhode Island 02920-4407
(401) 462-8000
    Dr. Lee H. Arnold, Director, LArnold@DLT.state.ri.us
Workers' Compensation Division
1511 Pontiac Avenue
Cranston, Rhode Island 02920-0942
Post Office Box 20190
Cranston, Rhode Island 02920-0190
(401) 462-8100, Fax: (401) 462-8105, TDD: (401) 462-8084
    E. Jean Severance, Associate Director, JSeverance@DLT.state.ri.us
    Matthew P. Carey, III, Assistant Director, MCarey@DLT.state.ri.us
Download free fillable PDF (Portable Document Format) versions of Rhode Island workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

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South Carolina

State of South Carolina—http://www.state.sc.us/
Workers' Compensation Commission—http://www.state.sc.us/wcc/
Post Office Box 1715
1612 Marion Street
Columbia, South Carolina 29202-1715
(803) 737-5700, Fax: (803) 737-5768
    Holly Saleeby Atkins, Chairman, (803) 737-5663
    Ann McCrowey Mickle, Vice Chair, (803) 737-5701
    W. Lee Catoe, Commissioner, (803) 737-5668
    Sherry Shealy Martschink-Spence, Vice Chairman, (803) 737-5660
    Bryan Lyndon, Commissioner, (803) 737-5697
    Donald L. Van Riper, Commissioner, (803) 737-5692
    Lisa Chavis, Commissioner, (803) 737-5678
    Alicia Clawson, Executive Director, (803) 737-5744, Fax: (803) 737-5768, executivedirector@infoave.net
Download free fillable PDF (Portable Document Format) versions of South Carolina workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

S.C. State Accident Fund
Post Office Box 102100
800 Dutch Square Boulevard
Columbia, South Carolina 29221-5000
(800) 521-6576, (803) 896-5800
    Irvin D. "Pete" Parker, Director

S.C. Second Injury Fund
22 Koger Center
Winthrop Building, Suite 119220
Executive Center Drive
Columbia, South Carolina 29210
(803) 798-2722, Fax: (803) 798-5290
    Douglas P. Crossman, Director

S.C. Workers' Compensation Uninsured Employers' Fund
22 Koger Center
Winthrop Building, Suite 119220
Executive Center Drive
Columbia, South Carolina 29210
(803) 798-2722, Fax: (803) 798-5290
    Douglas P. Crossman, Director

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South Dakota

State of South Dakota—http://www.state.sd.us/
Department of Labor—http://www.state.sd.us/state/executive/dol/dol.htm
Division of Labor and Management—http://www.state.sd.us/state/executive/dol/dlm/dlm-home.htm
Kneip Building, Third Floor
700 Governors Drive
Pierre, South Dakota 57501-2291
E-mail: labor@dol-pr.state.sd.us
(605) 773-3681, Fax: (605) 773-4211
    James Marsh, Director

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Tennessee

State of Tennessee—http://www.state.tn.us/
Department of Labor and Workforce Development—http://www.state.tn.us/labor-wfd/
Workers' Compensation Division—http://www.state.tn.us/labor-wfd/wcomp.html
710 James Robertson Parkway
Gateway Plaza, Second Floor
Nashville, Tennessee 37243-0665
(800) 332-2667 (within Tennessee), (615) 532-4812, Fax: (615) 532-1468
    Alphonso R. Bodie, Commissioner
Download free fillable PDF (Portable Document Format) versions of Tennessee workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

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Texas

State of Texas—http://www.state.tx.us/
Texas Workers' Compensation Commission (TWCC)—http://www.twcc.state.tx.us/
Southfield Building, MS-3
4000 South IH-35
Austin, Texas 78704-7491
(512) 804-4100 or 804-4636, Fax: (512) 804-4101, Fraud Hotline: (888) 327-8818, Injured Worker Hotline/Ombudsman: (800) 252-7031
    Employee Commissioners
    Rebecca Olivares, Chairman
    Jack Abla
    Kenneth Moore
    Employer Commissioners
    J. M. "Mike" Lowrey
    Joel B. "Burt" Terrill
    Lonnie Watson
    Virginia A. May, Acting Executive Director, (512) 804-4400, Fax: (512) 804-4401, executive.director@twcc.state.tx.us
    Barbara Ritchie, Deputy Executive Director/Chief of Staff, (512) 804-4500, Fax: (512) 804-4501
    Virginia A. May, Deputy Executive Director for Customer Services and Regional Operations, (512) 804-5000, Fax: (512) 804-5001
Download free fillable PDF (Portable Document Format) versions of Texas workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Research and Oversight Council on Workers' Compensation—http://www.roc.capnet.state.tx.us/
9800 North Lamar Boulevard, Suite 260
Austin, Texas 78753
E-mail: roc@mail.capnet.state.tx.us
(512) 469-7811 Fax: (512) 469-7481, TTD: (800) 736-2989
Research and Oversight Council Board Members
    Senator Troy Fraser, Chairman
    Representative Kim Brimer, Vice Chairman
    Senator John J. Carona
    Senator Leticia Van de Putte
    Representative David Counts
    Representative Scott Hochberg
    J.M. "Mike" Lowery, TWCC Commissioner
    Rebecca Olivares, TWCC Commissioner
    Nancy Moore, Commissioner of Insurance designee

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Utah

State of Utah—http://www.state.ut.us/
Labor Commission—http://www.labor.state.ut.us/
Industrial Accidents Division—http://www.labor.state.ut.us/indacc/indacc.htm
Post Office Box 146610
Salt Lake City, Utah 84114-6610
(801) 530-6800, Fax: (801) 530-6804
    R. Lee Ellertson, Chairman
    Thomas R. Carlson, Commissioner
    Colleen S. Colton, Commissioner

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Vermont

State of Vermont—http://www.state.vt.us/
Department of Labor & Industry—http://www.state.vt.us/labind/
National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2288, Fax: (802) 828-2195
    R. Tasha Wallis, Commissioner, (802) 828-5098, tasha.wallis@labind.state.vt.us

Workers' Compensation Division—http://www.state.vt.us/labind/wcindex.htm
National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2286, Fax: (802) 828-2195
    Laura Collins, Director, (802) 828-2286, laura.collins@labind.state.vt.us
Download free fillable PDF (Portable Document Format) versions of Vermont workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

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Virginia

Commonwealth of Virginia—http://www.state.va.us/
Virginia Workers' Compensation Commission—http://www.vwc.state.va.us
1000 DMV Drive
Richmond, Virginia 23220
(804) 367-8600, Fax: (804) 367-9740, TDD: (804) 367-8600
    Virginia R. Diamond, Chairman, (804) 367-8657
    William L. Dudley, Jr., Commissioner, (804) 367-8659
    Lawrence D. Tarr, Commissioner, (804) 367-8666
Download free fillable PDF (Portable Document Format) versions of Virginia workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

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Washington

State of Washington—http://access.wa.gov/
Department of Labor and Industries—http://www.wa.gov/lni/
Labor and Industries Building
Post Office Box 44001
Olympia, Washington 98504-4001
(360) 902-4213, Fax: (360) 902-4202
    Gary Moore, Director

Board of Industrial Insurance Appeals—http://www.biia.wa.gov/
2430 Chandler Court, SW
Post Office Box 42401
Olympia, Washington 98504-2401
(800) 442-0447, (360) 753-9646, Fax: (360) 586-5611
    S. Frederick Feller, Chairman
    Frank Fennerty, Jr., Labor Member
    Judith Schurke, Employer Member

Workers' Compensation Information—http://www.wa.gov/lni/insurance/

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West Virginia

West Virginia—http://www.wv.gov/
Bureau of Employment Programs—http://www.wvbep.org/
    Quetta Muzzle, Acting Commissioner
Post Office Box 3824
Charleston, West Virginia 25338-3824
(304) 558-2630 Fax: (304) 558-2992

Workers' Compensation Division—http://www.wvwcc.org/
4700 MacCorkle Avenue, SE
Charleston, West Virginia 25304
(800) 628-4265, (304) 926-5048 Fax: (304) 926-5372
    Greg Burton, Commissioner

Office of Judges —http://www.wvwcc.org/ooj/
Post Office Box 2233
Charleston West Virginia 25328-2233
(304) 558-1686 Fax: (304) 558-1021
    Timothy G. Leach, Chief Administrative Law Judge

Workers' Compensation Appeal Board
Post Office Box 2628
Charleston, West Virginia 25329-2628
(304) 558-3375, Fax: (304) 558-1322
    Charles F. Donnelly, Chairman

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Wisconsin

State of Wisconsin—http://www.state.wi.us/
Department of Workforce Development—http://www.dwd.state.wi.us/
Workers' Compensation Division—http://www.dwd.state.wi.us/wc/default.htm
Room 161
201 East Washington Avenue
Madison, Wisconsin 53703
Post Office Box 7901
Madison, Wisconsin 53707-7901
(608) 266-1340; Fax: (608) 267-0394; Fraud (608) 261-8486
    Gregory Krohm, Administrator, (608) 266-6841,   krohmgr@mail.state.wi.us
    Stan Vinge, Deputy Administrator, (608) 266-0337,   vinges@mail.state.wi.us
    Sharon Fellows, Administrative Support, (608) 266-2041
Download free fillable PDF (Portable Document Format) versions of Wisconsin workers' compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Workers' Compensation Advisory Council—http://www.dwd.state.wi.us/wc/councils/wcac/
(608) 266-6841
    Gregory Krohm, Chairman

Wisconsin Labor and Industry Review Commission—http://www.dwd.state.wi.us/lirc/
Mailing Address:
Post Office Box 8126
Madison, Wisconsin 53708-8126
Office Location:
Wisconsin Public Broadcasting Building
3319 West Beltline Highway
Madison, Wisconsin
(608) 266-9850 Fax: (608) 267-4409
    E-mail: dwdlirc@dwd.state.wi.us
    David B. Falstad, Chairman
    Pamela I. Anderson, Commissioner
    James A. Rutkowski, Commissioner
    James L. Pflasterer, General Counsel

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Wyoming

State of Wyoming—http://www.state.wy.us/
Department of Employment—http://wydoe.state.wy.us/
122 West 25th Street
Herschler Building 2 East
Cheyenne, Wyoming 82002
(307) 777-7672 , Fax: (307) 777-5805
    Beth Nelson, Director, (307) 777-7672, Bnelso@state.wy.us
    Kathryn Cotton, Administrator, (307) 777-6295, Kcotto@state.wy.us

Workers' Safety and Compensation Division—http://wydoe.state.wy.us/doe.asp?ID=9
122 West 25th Street
Herschler Building 2 East
Cheyenne, Wyoming 82002
(307) 777-7159, Fax: (307) 777-6552.
    To Report an Injury: (800) 870-8883 or (307) 777-7441, Fax: (307) 777-6552.
    To Report Fraud: (888) 996-9226 or (307)777-7677, Fax: (307) 777-3581. 
    Kathleen McKinna, Administrator, (307) 777-5110, Fax: (307) 777-5946

Employment Tax Division—http://wydoe.state.wy.us/doe.asp?ID=10
Post Office Box 2760
Casper, Wyoming 82602-2760
(307) 235-3201 (Casper) or (307) 777-7471 (Cheyenne)
    Wendy Tyson, Administrator, wtyson@state.wy.us

 

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Other U.S. Areas

American Samoa

American Samoa
Workmen's Compensation Commission
Office of the Governor
Pago Pago, American Samoa 96799
    Moaali'itele Tu'ufuli, Commissioner
    Tasi Mauga, Administrator

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Guam

Guam—http://www.gov.gu/
Department of Labor
Workers' Compensation Commission
Government of Guam
Post Office Box 9970
Tamuning, Guam 96931-9970
(671) 647-4205, Fax: (671) 649-4922
    J.M. Taijito, Acting Director of Labor, Ex-Officio Commissioner
    Christian L. Delfin, Employment Program Administrator
    Cecilia S. Poblete, Administrative Assistant

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Navajo Nation

Navajo Nation
Workers' Compensation Program
Post Office Box 9000
Window Rock, Arizona 86515
(602) 871-6461, Fax: (602) 871-6087
    Ben Manuelito, Jr., Administrator

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Northern Mariana Islands

Northern Mariana Islands

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Puerto Rico

Puerto Rico
Industrial Commissioner's Office
G.P.O. Box 364466
San Juan, Puerto Rico 00936
(787) 783-3808, Fax: (787) 783-5610
    Basilio Torres Rivera, Chairman
    Julio Pomales Santiago, Commissioner
    Jorge Mendez Nieves, Commissioner
    Gilberto M. Charriez Rosario, Commissioner
    Luis Duprey Figueroa, Commissioner

State Insurance Fund
G.P.O. Box 5028
San Juan, Puerto Rico 00936
    Oscar Ramos, Administrator

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Virgin Islands

Virgin Islands—http://www.gov.vi/
Department of Labor—http://www.vidol.gov/labor/
21-31 Hospital Street
Christiansted
St. Croix, U.S. Virgin Islands 00802
(340) 776-3700 or (340) 773-1994, Fax: (340) 774-5908, (340) 773-0094, or (340) 776-0529
    Carmelo Rivera, Commissioner
Workers' Compensation Division
3012 Vitraco Mall, Golden Rock
Christiansted
St. Croix, Virgin Islands 00820-4666
(809) 692-9390, Fax: (809) 773-4338
    Idona Byron, Acting Director

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Canada

Federal Jurisdiction

Government of Canada—http://canada.gc.ca/
Labour Program
Human Resources Development Canada—http://labour-travail.hrdc-drhc.gc.ca/
Human Resources Development Canada
11 Prince of Wales Drive
Ottawa, Ontario K2C 3T2
(800) 463-2493 (in Canada), (416) 954-5900 (Metro Toronto Area), (519) 645-4424 (London Area)

Alberta

Government of Alberta—http://www.gov.ab.ca/
Department of Labour—http://www.gov.ab.ca/hre/
9940 - 106 Street
Edmonton, Alberta T5K 2N2
(403) 427-8848, (403) 297-2222 (Calgary)
Workers' Compensation Board-Alberta—http://www.wcb.ab.ca/
Box 2415, 9912 - 107 Street
Edmonton, Alberta~ T5J 2S5
(403) 498-4000, (403) 498-4950 (Government Relations Office-Edmonton), Fax: (403) 422-2889 TTY: (403) 422-2716
E-mail: geninfo.wcb.ab@ibm.net
    Rick LeLacheur, Chairman of the Board of Directors

British Columbia

Government of British Columbia—http://www.gov.bc.ca/
Workers' Compensation Board of British Columbia—http://www.wcb.bc.ca/
6951 Westminster Highway
Post Office Box 5350 STN Terminal
Richmond, British Columbia V6B 5L5
(800) 661-2112 (in British Columbia only), (604) 273-2266, (604) 273-7711 (after hours safety and health emergency reporting) Fax: (604) 276-3151

Manitoba

Government of Manitoba—http://www.gov.mb.ca/
Department of Labour
Workplace Safety and Health Division—http://www.gov.mb.ca/labour/safety/index.html
200 - 401 York Avenue
Winnipeg, Manitoba R3C 0P8
(800) 282-8069, (204) 945-3446 Fax: (204) 945-4556
Workers' Compensation Board of Manitoba—http://www.wcb.mb.ca/
E-mail: wcb@wcb.mb.ca

New Brunswick

Government of New Brunswick—http://www.gov.nb.ca/
New Brunswick Workplace Health, Safety and Compensation Commission—http://www.whscc.nb.ca/
1 Portland Street
Post Office Box 160
Saint John, New Brunswick E2L 3X9
(800) 222-9775 (in New Brunswick only), (506) 632-2200 Fax: (506) 738-4229

Newfoundland and Labrador

Government of Newfoundland—http://www.gov.nf.ca/
Department of Environment and Labour—http://www.gov.nf.ca/env
Occupational Health and Safety Division
Confederation Building, 4th Floor, West Block
Post Office Box 8700
St John's, Newfoundland A1B 4J6
(800) 563-5471 (in Newfoundland only), (709) 729-1932 Fax: (709) 729-6639
Workers' Compensation Commission of Newfoundland and Labrador—http://www.whscc.nf.ca/

Northwest Territories

Government of the Northwest Territories —http://www.gov.nt.ca/
Northwest Territories Workers' Compensation Board
Post Office Box 8888
Yellowknife, Northwest Territories X1A 2R3
(800) 661-0792 (in North America), (867) 920-3888 Fax: (867) 873-4596

Nova Scotia

Government of Nova Scotia—http://www.gov.ns.ca/
Occupational Health & Safety Division
Department of Labour
5151 Terminal Road, 6th floor
Post Office Box 697
Halifax, Nova Scotia B3J 2T8
(800) 9-LABOUR or (800) 952-2687 (in Nova Scotia only), (902) 424-5400 Fax: (902) 424-3239
Workers' Compensation Board of Nova Scotia—http://www.wcb.ns.ca/

Ontario

Government of Ontario—http://www.gov.on.ca/
Occupational Health & Safety Branch—http://www.gov.on.ca/LAB/ohs/ohse.htm
Ministry of Labour —http://www.gov.on.ca/LAB/
400 University Avenue, 8th Floor
Toronto, Ontario M7A 1T7
(800) 268-8013 (in Ontario only), (416) 326-7770 Fax: (416) 326-7761
Workplace Safety & Insurance Board (formerly Workers' Compensation Board)—http://www.wsib.on.ca/wsib/wsibsite.nsf/Public/Homepage (new site available soon: http://www.wsib.on.ca)
200 Front Street West
Toronto, Ontario
(800) 387-5540, (416) 344-1000 Fax: (416) 344-4684 TTY: (800) 387-0050
E-mail: wsibcomm@wsib.on.ca
Workplace Safety and Insurance Appeals Tribunal—http://www.wsiat.on.ca/engindex.htm
505 University Avenue, 7th Floor
Toronto, Ontario M5G 1X4
(416) 598-4638 Fax: (416) 326-5164
    Ian Strachan, Chairman
Occupational Health and Safety Branch
Ministry of Labour—http://www.gov.on.ca/LAB/ohs/
400 University Avenue, 8th Floor
Toronto, Ontario M7A 1T7
(800) 268-8013 (in Ontario only), (416) 326-7770 Fax: (416) 326-7761

Prince Edward Island

Government of Prince Edward Island—http://www.gov.pe.ca/
Occupational Health and Safety Division
Workers' Compensation Commission
P.O. Box 757
Charlottetown, Prince Edward Island C1A 7L7
(800) 237-5049 (in Prince Edward Island only), (902) 368-5680 Fax: (902) 368-5696

Québec

Province of Québec—http://www.gouv.qc.ca/
Commission de la santé et de la sécurité du travail du Québec—http://www.csst.qc.ca/
(Occupational Health and Safety Commission)
C P 6056, Succursale Centre-ville
Montréal, Québec H3C 4E1
(800) 667-7585 (in Québec only), (514) 864-9362 Fax: (514) 864-9214

Saskatchewan

Government of Saskatchewan—http://www.gov.sk.ca/
Department of Labour—http://www.gov.sk.ca/govt/labour/
Occupational Health and Safety Division
1870 Albert Street
Regina, Saskatchewan S4P 3V7
(800) 567-7233, (306) 787-4496 Fax: (306) 787-2208 ~ Saskatoon Office: (306) 933-5042; 1-800-667-5051 FAX: (306) 933-7339

Yukon Territory

Government of Yukon—http://www.gov.yk.ca/
Workers' Compensation, Health and Safety Board
Occupational Health and Safety Branch
401 Strickland Street
Whitehorse, Yukon Territory Y1A 5N8
(800) 661-0443, (867) 667-5450 Fax: (867) 393-6279

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