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Report a Claim

Please report all claims within 24 hours of the employer receiving notification of injury.


Use our secure portal to report an injury online.


Claim + Event Notification Center

Call 877.585.1117 to provide claim information to a claims service representative.



Email First Report of Injury forms to RAS at



Complete the First Report of Injury form and fax it to 605.361.4121.

  • State statutes require that an employer must file a First Report of Injury whenever an employee claims to have been injured at work.
  • Whether or not the employer disputes the claim has no bearing on the employer’s obligation to file the First Report of Injury with its insurer.
  • Filing the First Report of Injury does not admit liability.
  • Failure to file the First Report of Injury or late filing of the First Report of Injury may subject the employer to penalties and/or lawsuits under workers’ compensation law.


As your workers’ compensation administrator, we will investigate all claims. If you have concerns about a claim, please advise us of those concerns, and we will investigate it thoroughly.