How to Report a Claim

Accident Claim

Incident Report Form/1st Report of Injury - All injuries, illnesses, incidents, accidents, sprains, or strains (no matter how slight) shall be reported in a prompt manner. If immediate treatment is needed:
Select a clinic that accepts Workers' Compensation.  
Prior to treatment call the Insurance Program Manager 254-710-4586.

Workers' Compensation Claims

Workers Compensation is a form of insurance that is provided and designed to protect employees who, experience a work-related injury or illness. If your incident occured while you were at work, complete the Incident Report Form.

If you need immediate treatment call the Insurance Program Manager at 254-710-4586, to give consent to treat if necessary.
View Baylor's Preferred List of Healthcare Providers. You may choose any facility that accepts Workers' Compensation.

  • Baylors Insurance Program Manager will file your claim with The Hartford, our insurance carrier.
  • All future communication will be with the Insurance Program Manager, your adjuster, and yourself.
  • If you need emergency medical attention or treatment after office hours from an injury on the job, please inform the Emergency Room that this is a Workers Compensation claim.   If the incident is Workers Compensation claim, please don't provide your personal health insurance and contact your Insurance Program Manager.

    **Note to Employees and Supervisors: Absences due to work-related injuries may also fall under the provisions of The Family and Medical Leave Act (FMLA). Proper FMLA procedures must be followed.

    Automobile Claim

    Automobile Accident Reporting Guide - Information on what to do if you are involved in an automobile accident in a rental vehicle, dealer loaner vehicle or Baylor owned vehicle.
    Auto Accident Report Form - Use this fillable form to report an automobile accident per the instructions in the Automobile Accident Reporting Guide.

    Property Claim

    Lost, Stolen, and Damaged Property Report - Use this fillable form to report any lost, stolen, damaged or recovered property. Fax completed forms to 254-710-6256.
    Lost, Stolen, and Damaged Property Inventory Sheet - Use this fillable form as an addendum to the Lost, Stolen, Damaged or Recovered Property Report to list multiple lost, stolen or damaged items. Fax completed forms to 254-710-6256.