Minnesota Workers' Comp Claims Kit

How to report a workplace injury

Phone: (844) 581-0828

For life-threatening medical emergencies, call 911

Preferred method: Submit the claim information online here

Another option to report a claim is via e-mail within 24 hours of the incident (or as soon as possible):

E-mail: claims@pieinsurance.com

In the e-mail, include the following information:

• Name of business
• Policy Number
• Reporting party’s contact information (name, phone, e-mail)
• The name, phone and e-mail address of injured employee
• Date of incident
• Location of incident (address and/or city, state)
• Description of incident

Fatalities and serious injuries:

Workplace fatalities and serious injuries must be reported to the Department of Labor and Industry within 48 hours by either calling the Work Comp Help Desk at 651-284-5005 (press 3) or 800-342-5354 (press 3) or sending an encrypted email message to helpdesk.dli@state.mn.us, to be followed by the first report of injury (FROI) form. Minnesota OSHA Compliance also has workplace fatality and serious-injury reporting requirements.

All other injuries:

For all other injuries, where claimed disability exceeds three calendar-days, the employer must get the FROI form to its insurance company within 10 days of the first day of disability or the date it was aware of disability, whichever is later.

Posting Notices

Prominently display the notice where each employee is likely to see the notice on a regular basis.

Minnesota posting notice - English

Minnesota posting notice - Spanish

Reference Material

Minnesota Dept. of Labor & Industry – Workers’ Compensation Website

Workers' Compensation Claims Process in MN

Minnesota first report of injury form

Employee Information Sheet - English

Employee Information Sheet – Spanish

Employee’s Guide to the Minnesota Workers’ Compensation System - English

Employee’s Guide to the Minnesota Workers’ Compensation System - Spanish

What is the waiting period for lost wages in Minnesota:

In cases of temporary total or temporary partial disability, no compensation is allowed for the three calendar-days after the disability commenced.  If the disability continues for ten calendar days or longer, the compensation is computed from the commencement of the disability. Disability is deemed to commence on the first calendar day or fraction of a calendar day that the employee is unable to work.