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First Report of Injury - Below are links to the ALABAMA First Report of Injury Form.

If an employee has a work-related injury, they should do the following:

  • Report the injury to employer;
  • Advise medical providers that your injury is covered under workers compensation;   
  • Report the injury

Email: Firstreport-al-bir@yorkrsg.com       
   Fax:  205-214-1191


First Report of Injury Form


Nature of Injury Codes


Alabama Trucking Association Workers Compensation Fund
PO Box 241605, Montgomery, Alabama 36124-1605
  Telephone: 334.834.7911   Fax: 334.834.7931
© Copyright Alabama Trucking Association Workers Compensation Self Insurance Fund.
All rights reserved.