Emergency Claims Notification

Auto/Property/Liability/Workers’ Compensation Claims

Please utilize the following procedures when reporting serious incidents* or fatalities.

* Serious incidents would include accidents involving injuries requiring admittance to a hospital, police incidents involving use of firearms, public allegations of sexual misconduct involving public officials, or other "high profile" incidents involving potential civil liability.

Contact local emergency response personnel to handle immediate threats to life or property.
Secure the scene.
Follow your Emergency Policy/Procedure for internal response, reporting notification.
Notify CIS Claims at 1-800-922-2684 and ask to be directed to Jim Wright (Claims Manager). If you are calling after hours and this is a true emergency, you may phone the emergency claims number, 1-800-922-2684 x4897 or 503-763-3897 if in the local Salem area, and it will be forwarded to the on-call claims examiner.
Contact your Employee Assistance Program (EAP) for counseling and critical incident debriefing as needed.
Conduct an internal investigation, document facts and submit the appropriate claim form to CIS Claims. Workers’ Compensation claim forms are available online.
If news media are requesting comment, be sure to follow your entity’s policy regarding media contact and public information. If you need assistance in developing such a policy, please contact CIS.

Please note to call OR-OSHA at 1-800-922-2689 if a fatality or serious disabling injury requiring hospitalization has occurred. Fatalities must be reported within 8 hours and in-patient hospitalization of an employee within 24 hours.

An incident report may be used if the injured worker is not planning to seek medical treatment. The 801 Claim Form must be completed when medical treatment or time off work occurs and should be forwarded to CIS Claims within five working days at the following address:

CIS Claims
PO Box 1469
Lake Oswego, OR 97035

After hours or on weekends, leave a voice message with CIS for a return call during business hours.