Workers' Compensation
Workers' Compensation Insurance Carrier
P.O. Box 13777Austin, Texas 78711
Phone: (512) 475-1440
Toll Free: (877) 445-0006
Fax: (512) 370-9025
SORM
Workers’ Compensation Forms
Submit completed forms to the Human Resources Claims Coordinator- Supervisor’s Investigation of Employee’s Accident/Incident Currently Unavailable
- Employee’s Report of Injury Currently Unavailable
- Authorization for Release of Information Currently Unavailable
- Witness Statement Currently Unavailable
- Employee’s Election Regarding Utilization of Sick and Annual Leave Currently Unavailable
- Return to Work Status Form Currently Unavailable