Fuel Program

FILE A CLAIM
  • Workers’ Compensation
    • For policyholders who ONLY have payroll in California:
      • Email: FROI@lwpclaims.com
      • Fax: 916.720.0533
      • Reporting Form
      • Instructions-for-completing-the-Employers-Report-of-Injury-Form-5020
    • For policyholders who have payroll in multiple states:
      • Phone: 800.753.6737
      • Fax: 800.245.9927
      • Email: nol@choosebroadspire.com
      • Online: File a Claim
      • Reporting Form
    • Commercial Auto, General Liability and Property
      • REPORT A SPILL: 888.556.4734
      • All other Claims:
      • Email: claims@coactionspecialty.com
      • Phone: 1.800.774.2755 (press “1” to report a claim)
      • Online: https://www.coactionspecialty.com/claims/
      • Fax: 1.855.657.3534
CLAIMS KITS AND INFORMATION

Workers’ Compensation

Fuel, Janitorial/Building Services, Personal Care, Portable Sanitation, Social Services, Security Guards

FILE A CLAIM
CLAIMS KITS AND INFORMATION

Personal Care & Assisted Living

FILE A CLAIM

Portable Sanitation

FILE A CLAIM
  • Nationwide phone: 800.421.3535