The Pie Insurance Company
Phone: (844) 581-0828
For life-threatening medical emergencies, call 911
Preferred method: Submit the claim information online here
E-mail: claims@pieinsurance.com
In the e-mail, include the following information:
Arizona Employer’s Report of Injury - FAQ
Arizona Online Employer's Report of Injury Form
Within TEN DAYS after receiving notice of the accident, an employer must complete an Employer’s Report of Injury and forward copies to the Commission and its insurance carrier or third-party administrator. It is strongly encouraged that this form be used to report the accident to the Commission online. It must be completed in its entirety.
IMPORTANT: The employer must notify the Commission of a work-related fatality by telephone, telegram or electronic filing no later than the next business day following a fatality.
Prominently display the notice where each employee is likely to see the notice on a regular basis.
Link to Arizona Workers’ Compensation Web Site
No payment is due for the first 7 days of disability unless the disability lasts 14 days or more, then the first 7 days will be paid retroactively.