3033 N 44th StSte 300Phoenix, AZ 85018-7275

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Service Center

PackageChoice Service Center

Report of Injury Form for Workers’ Compensation
(If you are reporting an injury for an injured worker and you have Workers Compensation coverage with us, you will need to complete the Employer Report of Injury Form. Click on the link above and complete the form to Submit the notice to us. You will also be given a copy of the completed form as well.)