Wisconsin Workers' Comp Claims Kit

How to report a workplace injury

Phone: (844) 581-0828

For life-threatening medical emergencies, call 911

Preferred method: Submit the claim information online here

Another option to report a claim is via e-mail within 24 hours of the incident (or as soon as possible):

E-mail: claims@pieinsurance.com

In the e-mail, include the following information:

• Name of business
• Policy Number
• Reporting party’s contact information (name, phone, e-mail)
• The name, phone and e-mail address of injured employee
• Date of incident
• Location of incident (address and/or city, state)
• Description of incident

Employer: Complete and submit a first report of injury (form WKC-12) to notify your worker's compensation insurance company of any work injury or suspected occupational disease.  Fatal claims must be reported within 24 hours.

WKC-12 - English

WKC-12 - Spanish

Posting Notices

Prominently display the notice where each employee is likely to see the notice on a regular basis.

WI Posting Notice 1

WI Posting Notice 2

Reference Material

Wisconsin Workers’ Compensation Website

Information for Employers

Information for Employees

WI Employer Facts

WI Facts for Injured Workers

What is the waiting period for lost wages in the Wisconsin:

No payment is due for the first 3 days of disability unless the disability lasts for more than 7 calendar days. The first 3 days are the waiting period.  Benefit eligibility begins on day 4 and runs forward. If the period of disability exceeds 7 calendar days, the first 3 days are payable. This 7 day period is the retroactive period.