The Law Offices of Leonard Y. Nason PC 

 Bedford Office    Boston Office    Fall River Office    Providence, R.I. Office 

                                                        

Attorney Leonard Y. Nason

Curtin, Murphy & O'Reilly, PC

Attorney Backgrounds

Click on any of the Handy Links below for valuable information

Massachusetts Department of Industrial Accidents

Rhode Island Workers' Compensation Division

All State Workers' Compensation Boards

Free fillable PDF Workers' compensation forms for all states

Americans With Disabilities Act Home Page

The Age Discrimination in Employment Act of 1967 (ADEA)

U.S Department of Labor

Federal Family & Medical Leave Act

OSHA

U.S.DOL SMALL BUSINESS HANDBOOK

STATE  BOARD OF REGISTRATION IN MEDICINE (physician profiles)

WORKERS' COMPENSATION RATING AND INSPECTION BUREAU

MASSACHUSETTS INSURANCE FRAUD BUREAU

Heath and Human Services - Information on Medical Privacy / HIPAA

Workers' Compensation for Federal Employees

Medicare Set Aside Agreements and Workers' Compensation under Medicare Secondary Payer Act

Newly filed MSA Bill

ABA's Position concerning Proposed amendments to the Medicare Secondary Payer Act

Upcoming Seminars

ABA ANNUAL MEETING WORKERS" COMPENSATION PROGRAM August, 10, 2007

News

PRESS RELEASE Massachusetts Attorneys inducted into College of Workers" Compensation Law

ABA TIPS Workers' Compensation Newsletters

The College Of Workers' Compensation Lawyers

SBANE

 

 

 

Home

Workers' Compensation Administrators Directory

Both the International Association of Industrial Accident Boards and Commissions (IAIABC) (http://www.iaiabc.org/) and the Property Casualty Insurers Association of America (PCI) (http://www.pciaa.net/sitehome.nsf/main) maintain excellent detailed lists of workers' compensation administrators, but these state-by-state listings contain some outdated information and certain minor discrepancies that I have tried to correct by directly contacting the Internet sites of the various state agencies charged with administering workers' compensation claims in the United States and Canada. Consequently, I feel that the following list of U.S. and Canadian workers' compensation administrators is the most complete and up-to-date listing available anywhere. It may be reprinted for free as long as it contains the following credit line: "This Workers' Compensation Administrators Directory was compiled by Robert W. McDowell for the North Carolina Industrial Commission, 4340 Mail Service Center, Raleigh, North Carolina 27699-4340."

If you are looking for an overview of State Workers' Compensation Laws, the U.S. Department of Labor (http://www.dol.gov/) provides one in PDF (Portable Document Format). (Note: You must download and install a free Adobe Acrobat Reader to view and print PDF files.)

Robert W. McDowell
Webmaster
N.C. Industrial Commission

This list was last updated on March 30, 2005. Please e-mail any comments and corrections to:

mcdowelr@ind.commerce.state.nc.us


TABLE OF CONTENTS FOR THIS PAGE

United States and D.C.:   U.S. Department of Labor       Montana    Nebraska    Nevada    New Hampshire    New Jersey    New Mexico    New York    North Carolina    North Dakota    Ohio    Oklahoma    Oregon    Pennsylvania    Rhode Island    South Carolina    South Dakota    Tennessee    Texas    Utah    Vermont    Virginia    Washington    West Virginia    Wisconsin    Wyoming   

Other U.S. Areas:   American Samoa    Guam    Navajo Nation    Northern Mariana Islands    Puerto Rico    Virgin Islands   

Canada:   Federal Jurisdiction    Alberta    British Columbia    Manitoba    New Brunswick    Newfoundland and Labrador    Northwest Territories    Nova Scotia    Ontario    Prince Edward Island    Québec    Saskatchewan    Yukon Territory   


United States and D.C.

U.S. Department of Labor

U.S. Department of Labor (DOL)—http://www.dol.gov/
200 Constitution Avenue NW
Washington, District of Columbia 20210
    Elaine L. Chao, Secretary, (202) 693-6000
    Steven J. Law, Deputy Secretary, (202) 693-6000
    Andrew Siff, Chief of Staff, (202) 693-6000
    Ruth D. Knouse Executive Secretariat Director, (202) 693-6100
    Tina Henry, Director of Scheduling, (202) 693-6003
DOL's Employment Standards Administration (ESA)—http://www.dol.gov/esa/
(202) 219-6692, Fax: (202) 219-8568
    Joe N. Kennedy, Acting Assistant Secretary, (202) 693-0200
ESA's Office of Workers' Compensation Programs (OWCP)—http://www.dol.gov/esa/owcp_org.htm
(202) 219-6191
    Shelby Hallmark, Director, (202) 693-0031
    Diane Svenonius, Deputy Director, (202) 693-0031
    Cecily Rayburn, Director, Division of Planning, Policy, and Standards, (202) 693-0032
    Michael Niss, Director, Longshore and Harbor Workers' Compensation, (202) 693-0038
        Contacts for Longshore and Harbor Workers' Compensationhttp://www.dol.gov/esa/owcp/dlhwc/lscontac.htm
    Douglas C. Fitzgerald, Director, Federal Employees' Compensation, (202) 693-0040
        Contacts for Federal Employees' Compensationhttp://www.dol.gov/esa/contacts/owcp/fecacont.htm
    James L. DeMarce, Director, Coal Mine Workers' Compensation, (202) 693-0046
        Contacts for Coal Mine Workers' Compensationhttp://www.dol.gov/esa/contacts/owcp/blcontac.htm
    Peter M. Turcic, Director, Energy Employees Occupational Illness Compensation, (202) 693-0856
        Contacts for Energy Employees Occupational Illness Compensationhttp://www.dol.gov/esa/regs/compliance/owcp/eeoicp/law/JurisdictionMap.htm
    

OWCP Regional Directors

Northeast Region (consists of New York and Boston district offices)
    Jaye Weisman, Regional Director
    201 Varick Street, Room 750
    New York, New York 10014
    (646) 264-3100

Boston District Office
    Michael J. Harvill, Deputy Regional Director
    JFK Federal Building, Room E-260
    Boston, Massachusetts 02203
    (617) 624-6677

Philadelphia Region
    R. David Lotz, Regional Director
    170 S. Independence Mall West, Suite 780 West
    Philadelphia, Pennsylvania 19106-3313
    (215) 861-5401, Fax: (215) 861-5400
    
Atlanta Region (consists of Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee)
    Richard Brettell, Regional Director
    214 North Hogan Street, Room 1026
    Jacksonville, Florida 32202
    (904) 357-4777
    
Midwest Region (consists of Chicago, Cleveland, and Kansas City district offices)
    Nancy Jenson, Regional Director
    230 South Dearborn Street, 8th Floor
    Chicago, Illinois 60604
    (312) 596-7131

Cleveland District Office
    Robert Sullivan, District Director
    1240 East Ninth Street, Room 851
    Cleveland, OH 44199
    (216) 357-5390

Kansas City District Office
    Lois Maxwell, District Director
    City Center Square Building, Suite 750
    1100 Main Street
    Kansas City, Missouri 64105
    (816) 502-0344

Southwest Region (consists of Dallas and Denver district offices)
    E. Martin Walker, Regional Director
    Federal Building
    525 South Griffin Street
    Dallas, Texas 75202
    (972) 850-2409

Denver District Office
    Shirley Bridge, District Director
    Street Address:
    1999 Broadway, Suite 600
    Denver, Colorado 80201
    Mailing Address:
    Post Office Box 46550
    Denver, Colorado 80201-6550
    (720) 264-3007, Fax: (720) 264-3046

Pacific Region (consists of the San Francisco and Seattle district offices)
    Ed Bounds, Regional Director
    71 Stevenson Street, Second Floor
    San Francisco, California 94105
    (415) 848-6880

Seattle District Office
    Marcus Tapia, District Director
    1111 Third Avenue, Suite 650
    Seattle, Washington 98101-3212
    (206)398-8220

National Operations Office
    Patricia Greene, Acting District Director
    800 North Capitol Street NW, Room 800
    Washington, District of Columbia 20211
    (202) 513-6816

 

Return to top of page


Alabama

State of Alabamahttp://www.al.gov/
Department of Industrial Relationshttp://dir.alabama.gov/
    Phyllis Kennedy, Director, (334) 242-8990, Fax: (334) 242-3960, Director@dir.state.al.us
    Donald K. Fisher, Assistant Director, (334) 242-8990, Fax: (334) 242-3960, DFisher@dir.state.al.us
Workers' Compensation Divisionhttp://dir.alabama.gov/wc/
Industrial Relations Building
649 Monroe Street
Montgomery, Alabama 36131
(800) 528-5166, (334) 242-2868; Fax: (334) 353-8262 (Administrative/TPAs/Assessments/Self-Insurance), (334) 353-8228 (Examiners/Ombudsman), (334) 353-0840 (Claims), (334) 353-8490 (Compliance/Drug Free/Medical/Education); Fraud: (800) 923-2533; Ombudsman: (800) 528-5166, (334) 242-2868 (in Montgomery area)
    Scottie Spates, Director, Administrative Section, (800) 528-5166, (334) 353-0990, Fax: (334) 353-8262, WC@dir.state.al.us

Return to top of page


Alaska

State of Alaskahttp://www.state.ak.us/
Department of Labor and Workforce Developmenthttp://www.labor.state.ak.us/home.htm
Workers' Compensation Divisionhttp://www.labor.state.ak.us/wc/wc.htm
Post Office Box 25512
Juneau, Alaska 99802-5512
(907) 465-2790; Fax: (907) 465-2797
    Paul L. Grossi, Director, (907) 465-6046, Fax: (907) 465-2797, Paul_Grossi@labor.state.ak.us
    Mark R. Torgerson, Chief of Adjudications, (907) 269-4982 mark_torgerson@labor.state.ak.us

Workers' Compensation Boardhttp://www.gov.state.ak.us/boards/factsheet/fact110.html
Department of Labor
Post Office Box 25512
M/S 0700
Juneau, Alaska 99802-5512
(907) 465-2790, Fax: (907) 465-2797
    Commissioner of Labor Ed Flanagan, Chairman  Commissioner_Labor@labor.state.ak.us
    John A. Abshire, At Large/Labor
    Valerie K. Baffone, 3rd Judicial District/Labor
    Dorothy Bradshaw, 2nd/4th Judicial District/Industry
    John Giuchici, 2nd/4th Judicial District/Labor
    Paul Grossi, Commissioner of Labor or his designee
    Steve Hagedorn, 3rd Judicial District/Industry
    Harriet M. Lawlor, 3rd Judicial District/Labor
    Andrew J. Piekarski, 3rd Judicial District/Labor
    Nancy Jo Ridgley, 1st Judicial District/Labor
    Florence S. Rooney, 3rd Judicial District/Industry
    Marc D. Stemp, At Large/Industry
    Philip E. Ulmer, 3rd Judicial District/Industry
    James G. Williams, 1st Judicial District/Industry

Return to top of page


Arizona

State of Arizonahttp://www.state.az.us/
Industrial Commission of Arizonahttp://www.ica.state.az.us/
800 West Washington
Phoenix, Arizona 85007
    or
Post Office Box 19070
Phoenix, Arizona 85005-9070
(602) 542-4411, Fax: (602) 542-7889; Ombudsman: (602) 542-4538, Fax: (602) 542-4350
    Gay Conrad Kruglick, Chairman
    Mike Petchel, Vice Chairman
    Jean-Pierre Angelchick, M.D., Commissioner
    Sandy Grunow, Commissioner
    Lou Rodriguez, Commissioner
    Larry J. Etchechury, Director
    Teresa Hilton, Secretary
Free Workers’ Compensation forms

Industrial Commission Review Board

State Compensation Fundhttp://www.statefund.com/
3031 North Second Street
Phoenix, Arizona 85012
(602) 631-2000; Fax: (602) 631-2213
    Donald A. Smith, Jr., President and CEO

Return to top of page


Arkansas

State of Arkansashttp://www.state.ar.us/
Workers' Compensation Commissionhttp://www.awcc.state.ar.us/
Street Address:
324 Spring Street
Little Rock, Arkansas 72203
Mailing Address:
Post Office Box 950
Little Rock, Arkansas 72203-0950
(800) 622-4472, (501) 682-3930; Fax: (501) 682-2777; Legal Advisor Direct: (800) 250-2511; TDD: (800) 285-1131
Arkansas Relay System TDD: (800) 285-1131
    Olan W. "Butch" Reeves, Chairman, Breeves@awcc.state.ar.us
    Shelby W. "Terry" Turner, Commissioner, Tturner@awcc.state.ar.us
    Joe E. Yates, Commissioner, Jyates@awcc.state.ar.us
    Julie Benafield Bowman, Chief Executive Officer, jbowman@awcc.state.ar.us
    James W. Daniel, Assistant Chief Executive Officer, jdaniel@awcc.state.ar.us
    David Greenbaum, Chief Administrative Law Judge, Dgreenbaum@awcc.state.ar.us

Return to top of page


California

State of Californiahttp://my.ca.gov/state/portal/myca_homepage.jsp
Department of Industrial Relationshttp://www.dir.ca.gov/
    Stephen J. "Steve" Smith, Director
Commission on Health and Safety and Workers' Compensation (CHSWC)—http://www.dir.ca.gov/CHSWC/chswc.html
455 Golden Gate Avenue, 10th Floor
San Francisco, California 94102
(415) 557-1304, Fax: (415) 703-4234, E-mail: chswc@hq.dir.ca.gov
Commission Members:
2000 Chairman Tom Rankin, Labor Representative
    Jill Dulich, Employer Representative
    Leonard C. McLeod, Labor Representative
    Gerald O'Hara, Labor Representative
    Kristen Schwenkmeyer, Employer Representative
    Robert B. Steinberg, Employer Representative
    Darrel "Shorty" Thacker, Labor Representative
    John Wilson, Employer Representative
    Christine Baker, Executive Officer, (415) 703-4220, Fax: (415) 703-4234

Division of Workers' Compensation (DWC)—http://www.dir.ca.gov/DWC/dwc_home_page.htm
Street Address:
455 Golden Gate Avenue, 9th Floor
San Francisco, California 94102-3660
Mailing Address:
Post Office Box 420603
San Francisco, California 94142
E-mail: dwc@dir.ca.gov
(415) 703-4600 ; Fax: (415) 703-3971
    Richard P. Gannon, Administrative Director
    George Mason, Deputy Administrative Director
Free Workers’ Compensation forms

Industrial Medical Council (IMC)—http://www.dir.ca.gov/IMC/imchp.html
Post Office Box 8888
San Francisco, California 994128-8888
(800) 794-6900 (in California), (650) 737-2000
    D. Allan MacKenzie, M.D., Executive Medical Director

Workers' Compensation Appeals Board (WCAB)—http://www.dir.ca.gov/WCAB/wcab.htm
Street Address:
455 Golden Gate Avenue, Suite 9328
San Francisco, California 94102-3660
Mailing Address:
Post Office Box 429459
San Francisco, California 94142-9459
(415) 703-4580
    Commissioners
    Merle C. Rabine, Chairman, (415) 703-4554
    Frank M. Brass, Commissioner
    James C.Cuneo, Commissioner
    Janice Murray, Commissioner
    William K. O'Brien, Commissioner
    Vacant, Commissioner
    Vacant, Commissioner

    Deputy Commissioners
    Dennis J. Hannigan, Secretary
    Rick Dietrich, Deputy Assistant Secretary
    Neil P. Sullivan, Deputy Assistant Secretary

Self-Insurance Plans (SIP)—http://www.dir.ca.gov/SIP/sip.html
2265 Watt Avenue, Suite 1
Sacramento, California 95825
(916) 483-3392; Fax: (916) 483-1535, E-mail: SIP@dir.ca.gov
    Mark Ashcraft, Manager
    Ken Swanson, Audit Supervisor

State Compensation Insurance Fund (SCIF)—http://www.scif.com/
1275 Market Street
San Francisco, California 94103
(415) 565-1234, Claims Reporting Service (toll free): (888) 222-3211
    Kenneth C. Bollier, President

Return to top of page


Colorado

State of Coloradohttp://www.state.co.us/
Department of Labor & Employmenthttp://www.coworkforce.com/
    Jeff Wells, Executive Director, (303) 318-8020
Division of Workers' Compensationhttp://www.coworkforce.com/DWC/
1515 Arapahoe Street
Tower 2, Suite 500
Denver, Colorado 80202-2117
(888) 390-7936 (English), (800) 685-0891 (Spanish), (303) 318-8700, Fax: (303) 318-8710, E-mail: workers.comp@state.co.us
    Mary Ann Whiteside, Director, (303) 318-8014
    Paul Tauriello
, Associate Director for Insurance Compliance, (303) 318-8650
    Bob Summers
, Associate Director for Business Operations, (303) 318-8678
Free Workers’ Compensation forms

Industrial Claims Appeals Office
    Workers' Compensation: (303) 318-8131
    Unemployment Insurance: (303) 318-8133
1515 Arapahoe Street

Tower 2, Suite 350
Denver, Colorado 80202
(303) 318-8133
    Dona Halsey, Director

Return to top of page


Connecticut

State of Connecticuthttp://www.state.ct.us/index.asp
Workers' Compensation Commissionhttp://wcc.state.ct.us/
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(860) 493-1500, Fax: (860) 247-1361
    John A. Mastropietro, Chairman
    John A. Arcudi, Commissioner
    Robin W. Waller, Commissioner
    Darius J. Spain, Commissioner
    Frank J. Verrilli, Commissioner
    A. Thomas White, Jr., Commissioner
    James J. Metro, Commissioner
    George A. Waldron, Commissioner
    Angelo L. dos Santos, Commissioner
    Donald H. Doyle, Jr., Commissioner
    Nancy A. Brouillet, Commissioner
    Linda Blenner-Johnson, Commissioner
    Amado J. Vargas, Commissioner
    Michael S. Miles, Commissioner
    Robin L. Wilson, Commissioner
    Leonard S. Paoletta, Commissioner
    Marvin L. Smernoff, Chief Administrative Officer
Free Workers’ Compensation forms

 

Compensation Review Board (CRB)—http://wcc.state.ct.us/index2.htm
Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(203) 493-1500, Fax: (203) 247-1361
    Jesse M. Frankl, Chairman
    Michael S. Miles, Commissioner
    Donald H. Doyle, Jr., Commissioner

Return to top of page


Delaware

State of Delawarehttp://www.state.de.us/
Department of Laborhttp://www.delawareworks.com/
4425 North Market Street
Wilmington, Delaware 19802
    Lisa Blunt-Bradley, Secretary, (302) 761-8000, Fax: (302) 761-6621
Division of Industrial Affairshttp://www.delawareworks.com/divisions/industaffairs/diaindex.html
4425 North Market Street
Wilmington, Delaware 19802
    Karen Peterson, Director, (302) 761-8176, Fax: (302) 761-6601, kpeterson@state.de.us
Office of Workers' Compensationhttp://www.delawareworks.com/divisions/industaffairs/workers.comp.htm
State Office Building, Sixth Floor
820 North French Street
Wilmington, Delaware 19801
(302) 761-8200, Fax: (302) 577-3750
    John F. Kirk, III, Administrator
    Karen W. Wright, Chair
    Jesse I. Hastings, Member
    James P. Robinson, III, Member
    Richard L. Stone, Member
    Arthur Episcopo, Member
    Jerome Donohue, Member
    Irving Levitt, Member
    Armand Cocco, Sr., Member
    Jane Mitchell, Member
    R. Howard Seward, Member

Return to top of page


District of Columbia

District of Columbiahttp://www.dc.gov/
Department of Employment Serviceshttp://www.does.dc.gov/does/site/default.asp
Government of the District of Columbia
64 New York Avenue, N.E.
Washington, District of Columbia 20002
(202) 724-7000, Fax: (202) 724-5683, TDD/TYY: (202) 673-6994
E-mail: does@dc.gov

Labor Standards Bureau
64 New York Avenue, N.E., Room 3129
Washington, District of Columbia 20002
(202) 671-1555, Fax: (202) 673-6412
    Reginald H. Berry, Assistant Director

Office of Workers' Compensationhttp://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537428
Mailing Address:
Post Office Box 56098
Washington, District of Columbia 20002
Street Address:
64 New York Avenue, N.E., Room 2909
Washington, District of Columbia 20002
(202) 671-1000, Fax: (202) 671-1929
    Charles L. Green, Associate Director

Office of Hearings and Adjudicationhttp://www.does.dc.gov/does/cwp/view.asp?a=1232&Q=537904
64 New York Avenue, N.E., Room 2011
Washington, District of Columbia 20002
(202) 671-2233, Fax: (202) 673-6938
    Malcolm J. Luis-Harper, Chief Administrative Law Judge

 

Return to top of page


Florida

State of Floridahttp://www.myflorida.com/
Florida Department of Financial Serviceshttp://www.fldfs.com/
    Tom Gallagher, Chief Financial Officer, gallaghert@doi.state.fl.us
200 East Gaines Street
Tallahassee, FL 32399-0300
(850) 413-3100, Consumer Helpline: (800) 342-2762
Division of Workers' Compensationhttp://www.fldfs.com/WC/
200 East Gaines Street
Tallahassee, Florida 32399-4220
(850) 921-6966; Fax: (850) 922-6779; Fraud: (800) 742-2214 (in Florida) (Department of Insurance, Bureau of Workers' Compensation Fraud: (850) 413-3116); Safety: (800) 367-4378 (in Florida), (850) 488-3044
E-mail: WorkCompCusServ@dfs.state.fl.us
    Tanner Holloman, Director, (850) 488-2514, HollomanT@dfs.state.fl.us
    Dan Sumner, Assistant Director, SumnerD@dfs.state.fl.us
Free Workers’ Compensation forms

Workers' Compensation Oversight Boardhttp://www.doi.state.fl.us/wc/pdf/2kAR_OversightBoard.PDF
100 Marathon Building
2574 Seagate Drive
Tallahassee, Florida 32399-2152
(850) 487-2613, SunCom: 277-2613; Fax: (850) 487-3232
    Laura Roesch, Chairman
    Dan Reynolds, Vice Chairman
    Carolyn M. Smith, Executive Director

Florida Division of Administrative Hearingshttp://www.doah.state.fl.us/internet/
Office of Judges of Compensation Claimshttp://www.jcc.state.fl.us/jcc/default.cfm
Petition for Benefits:
Post Office Box 8000
Tallahassee, Florida 32314-8000
Filing:
Post Office Box 6350
Tallahassee, Florida 32314-6350
Request for Assignment of Case Number:
Post Office Box 6410
Tallahassee, Florida 32314-6410
(850) 487-1911, SUNCOM 277-1911
    Scott S. Stephens, Deputy Chief Judge

Return to top of page


Georgia

State of Georgiahttp://www.state.ga.us/
Georgia State Board of Workers' Compensationhttp://www.ganet.org/sbwc/
270 Peachtree Street, NW
Atlanta, Georgia 30303-1299
(800) 533-0682, (404) 656-3875, Fax: (404) 656-7768, Enforcement Division: (404) 657-1391, Safety Library: (404) 656-9057
    Carolyn Hall, Chairman, (404) 656-2034
    Larry Smith, Director, (404) 656-2036
    Viola Drew, Director, (404) 656-2038
    Stan Carter, Executive Director, (404) 656-2048
Free Workers’ Compensation forms

Georgia Subsequent Injury Trust Fundhttp://www.ganet.org/sitf/
Suite 500, North Tower
1720 Peachtree Street, NW
Atlanta, Georgia 30309-2420
(404) 206-6360, Fax: (404) 206-6363, TDD: (404) 206-5053
    Anne D. Burnett, Administrator, (404) 206-6355, aburnett@sitf.state.ga.us
    David L. Taylor, Deputy Administrator

 

Return to top of page


Hawaii

State of Hawaiihttp://www.hawaii.gov/
Department of Labor & Industrial Relations (DLIR)—http://dlir.state.hi.us/
    Lorraine H. Akiba, Director
830 Punchbowl Street
Honolulu, HI 96813
E-mail: akiba@aloha.net

Disability Compensation Divisionhttp://dlir.state.hi.us/dc_1.pdf
830 Punchbowl Street, Room 209
Honolulu, Hawaii 96813
(808) 586-9151, Fax: (808) 586-9219
    Keith W. Ahue, Director
    Gary Hamada, Administrator

Labor & Industrial Relations Appeals Board
888 Mililani Street, Room 400
Honolulu, Hawaii 96813
(808) 586-8600
    Frank Yap, Chairman
    Charles Kama, Member

Return to top of page


Idaho

State of Idahohttp://www2.state.id.us/
Industrial Commissionhttp://www2.state.id.us/iic/index.html
317 Main Street
Post Office Box 83720
Boise, Idaho 83720-0041
(800) 950-2110, (208) 334-6000; Fax: (208) 334-2321; TDD: (800) 950-2110
    Rachel S. Gilbert, Chairman (employer representative)
    James F. Kile, Commissioner (attorney representative)
    R. D. Maynard, Commissioner (employee representative)
    Gary Stivers, Director
    Patricia Ramey, Secretary

State Insurance Fundhttp://www.state.id.us/isif/index.htm
1215 West State Street
Post Office Box 83720
Boise, Idaho 83720-0044
(800) 334-2370, (208) 334-2370 (in the Boise area); Fax: (208) 334-2262 (Policyholder Services, Administration, Management Services, Legal), (208) 334-3253 (Claims), (208) 334-3254 (Underwriting); Fraud: (800) 448-ISIF (4743)
E-mail addresses:
    Claims: Claims@isif.state.id.us
    Customer Service Center: CustomerService@isif.state.id.us
    Fraud: Claims@isif.state.id.us
    General Information/News Media Inquiries: abunch@isif.state.id.us
    Management Services: ManagementServices@isif.state.id.us
    Manager's Office: Administration@isif.state..id.us
    Policyholder Services: PHS@isif.state.id.us
    Underwriting: Underwriting@isif.state.id.us

Return to top of page


Illinois

State of Illinoishttp://www.il.gov/
Illinois Workers' Compensation Commissionhttp://www.iwcc.il.gov/
100 West Randolph Street, Suite 8-200
Chicago, Illinois 60601
(866) 352-3033 (toll free statewide), (312) 814-6611, Fax: (312) 814-6523, TDD: (312) 814-2959
E-mail: iicoperations@mail.state.il.us
    Dennis R. Ruth, Chairman
    David R. Akemann, Commissioner Representing Employers
    James F. DeMunno, Commissioner Representing the Public
    Susan O. Pigott, Commissioner Representing Employees
    Paul W. Rink, Commissioner Representing the Public
    Barbara A. Sherman, Commissioner Representing Employees
    Vacant, Commissioner Representing Employers
Free Workers’ Compensation forms

Office of Self-Insurance Administration
701 South Second Street
Springfield, Illinois 62704
(217) 785-7084, Fax: (217) 785-6557
    Maria Sarli-Dehlin, Manager, (312) 814-6065

Return to top of page


Indiana

State of Indianahttp://www.in.gov/
Workers' Compensation Board of Indianahttp://www.in.gov/workcomp/
Government Center South
402 West Washington Street, Room W-196
Indianapolis, Indiana 46204
(317) 232-3808; Claims/Statistics: (317) 233-4930; Fax: (317) 233-5493; Insurance: (317) 233-3910; Ombudsman: (800) 824-COMP (2667), (317) 232-5922
    G. Terrence Coriden, Chairman, (317) 232-3808
    Rogelio Dominquez, Member, (317) 232-5922
    Douglas Meagher, Member, (317) 233-5397
    Richard J. Noel, Member, (317) 233-3906
    Linda Powell, Member, (317) 233-3908
    John Rader, Member, (317) 233-3904
    Anne Thomas, Member, (317) 232-5922
    Sandy Cerimele Fralich, Executive Secretary, (317) 232-3809

Return to top of page


Iowa

State of Iowahttp://www.state.ia.us/
Iowa Workforce Developmenthttp://www.iowaworkforce.org/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA, (515) 281-5387
    Richard V. Running, Director
Iowa Division of Workers' Compensationhttp://www.iowaworkforce.org/wc/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA (562-4692), (515) 281-5387; Fax: (515) 281-6501, TTD: (515) 281-4748
E-mail: IWD.DWC@iwd.state.ia.us
    Michael G. Trier, Workers' Compensation Commissioner, mike.trier@iwd.state.ia.us
    Sharon K. Ortega, Administrative Secretary, sharon.ortega@iwd.state.ia.us

Return to top of page


Kansas

State of Kansashttp://www.state.ks.us/
Department of Human Resourceshttp://www.hr.state.ks.us/
    Richard E. Beyer, Secretary
Kansas Workers' Compensationhttp://www.hr.state.ks.us/wc/html/wc.htm
800 SW Jackson, Suite 600
Topeka, Kansas 66612-1227
(800) 332-0353, (785) 296-3441; Fax: (785) 296-0839; Fraud: (800) 332-0353, (785) 296-6392; Industrial Safety & Health: (800) 332-0353, (785) 296-4386; Ombudsman: (800) 332-0353, (785) 296-2996
    Philip S. Harness, Director

Return to top of page


Kentucky

Commonwealth of Kentuckyhttp://kentucky.gov/
Kentucky Department of Laborhttp://labor.ky.gov/
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070
    Philip J. Anderson, Commissioner, (502) 564-3070
Office of Workers' Claimshttp://labor.ky.gov/dwc/
657 Chamberlin Avenue
Frankfort, Kentucky 40601
(502) 564-5550 (Administrative Services, Open Records); Fax: (502) 564-8250 (Administrative Services), (502) 564-9533 (Ombudsman), (502) 564-5732 (Open Records), (502) 564-0916 (Security and Compliance); Ombudsman: (800) 554-8601 (Frankfort), (800) 554-8603 (Paducah), (800) 554-8602 (Pikeville); Security and Compliance: (502) 564-5550
E-mail: kywc.ombudsman@mail.state.ky.us
    William P. Emrick, Executive Director, (502) 564-5550, ext. 4439; Fax: (502) 564-5934
    Vacant, Deputy Executive Director, (502) 564-5550, ext. 4482; Fax: (502) 564-5934
    Philip A. Harmon
, Director, Security & Compliance, (502) 564-5550, ext. 4526; Fax: (502) 564-0916
    Barbara Mook
, Director, Claims Processing & Appeals, (502) 564-5550, ext. 4534; Fax: (502) 564-3732
    Deborah Wingate, Director, Information & Research, (502) 564-5550, ext. 4423; Fax: (502) 564-5732
    Sue Barber, Director, Ombudsman & WC Specialty Services Division, (502) 564-5550, ext. 4559; Fax: (502) 564-9533
    Carla Montgomery, General Counsel, (502) 564-5550, ext. 4464; Fax: (502) 564-5934
Free Workers’ Compensation forms

Workers' Compensation Board
    John A. Gardner, Chairman, (502) 564-5550
    Jonathan L. Stanley, Member, (502) 564-5550
    Kent Young, Member, (859) 246-2773

Division of Workers' Compensation Funds
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070, ext. 391
    Tim George
, Director

Workers' Compensation Funding Commission
#42 Millcreek Park
Post Office Box 1220
Frankfort, Kentucky 40602-1220
(502) 573-3505, Fax: (502) 573-4923
    Jon E. Nielsen, Executive Director
    Frank Dickerson, General Counsel

Kentucky Workers' Compensation Law (via CompEd, Inc.)—http://www.comped.net/

Return to top of page


Louisiana

State of Louisianahttp://www.louisiana.gov/wps/portal/
Department of Laborhttp://www.laworks.net/
Mailing Address: 
Post Office Box 94094
Baton Rouge, Louisiana 70804-9094
Street Address: 
1001 North 23rd Street
Baton Rouge, Louisiana 70804-9094
(225) 342-3111, TDD: (800) 259-5154
    John Warner Smith, Secretary of Labor
Office of Workers' Compensation Administrationhttp://www.laworks.net/wrk_owca.asp
Mailing Address: 
Post Office Box 94040
Baton Rouge, Louisiana 70804-9040
Street Address: 
1001 North 23rd Street
Baton Rouge, Louisiana 70802-9094
(225) 342-7555, Fax: (225) 342-5665, Fraud: (800) 201-3362 or WCFraud@ldol.state.la.us, Safety: (800) 201-2497
E-mail: OWCA@ldol.state.la.us
    Karen Reiners Winfrey, Assistant Secretary of Labor

Return to top of page


Maine

State of Mainehttp://www.maine.gov/
Workers' Compensation Boardhttp://www.maine.gov/wcb/
27 State House Station
Augusta, Maine 04333-0027
(207) 287-3751; Fax: (207) 287-7198
Board of Directors
    Paul R. Dionne, Chair, (207) 287-7086
    Management Representatives
        John C. Cooney, Board Member, (207) 287-7096
        Gary M. Koocher, Board Member, (207) 287-7096
        James Mingo, Board Member, (207) 287-7096
    Labor Representatives
        Rodney Hiltz, Board Member, (207) 287-7096
        Joan R. Kirkpatrick, Board Member, (207) 287-7096
        Anthony Monfiletto, Board Member, (207) 287-7096
Staff Members
    Paul R. Dionne, Executive Director, (207) 287-7086
    Richard Dunn, Deputy Director, Business Services, (207) 287-7083
    Steven P. Minkowsky, Deputy Director, Monitoring, Audit, and Enforcement Program, (207) 287-7067
    Elizabeth Inman, Deputy Director, Office of Medical Rehabilitation Services, (207) 941-4557
    John Rohde, General Counsel, (207) 287-7086
Free Workers’ Compensation forms

Return to top of page


Maryland

State of Marylandhttp://www.state.md.us/
Maryland Workers' Compensation Commissionhttp://www.charm.net/~wcc/
10 East Baltimore Street
Baltimore, Maryland 21202
(800) 492-0479, (410) 864-5100; Fax: (410) 333-8122
    Thomas Patrick O'Reilly, Chairman
    Charles S. Krysiak, Commissioner
    Sheldon Press, Commissioner
    Richard Teitel, Commissioner
    Jacques Leeds, Commissioner
    G. Joseph Sills, Jr., Commissioner
    J. Max Millstone, Commissioner
    Robert S. Redding, Commissioner
    Richard La Fata, Commissioner
    Stephen Rosenbaum, Commissioner
    R. Rex Brookshire, II, Director of Administration
Free Workers’ Compensation forms

Insured Workers' Insurance Fundhttp://www.iwif.com/
8722 Loch Raven Boulevard
Towson, Maryland 21286-2235
(800) 492-0197, (410) 494-2200 Fax: (410) 494-2001
    John Howard Burbage, Chairman
    Gregory D. Chasney, Member
    Joseph M. Coale III, Member
    Stephanie L. Fink, Member
    Louise T. Keelty, Member
    Donald W. Potter, Member
    Theo C. Rodgers, Member
    Paul M. Rose, President and Chief Executive Officer
    Michael A. Exum, Executive Vice President

Return to top of page


Massachusetts

Commonwealth of Massachusettshttp://www.mass.gov/
Department of Industrial Accidentshttp://www.mass.gov/dia/
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(800) 323-3249, (617) 727-4900; Fax: (617) 727-6477; TTY: (800) 224-6196
   John C. Chapman, Commissioner
   John Chapman, Deputy Commissioner
   James L. LaMothe, Jr., Senior Judge
Free Workers’ Compensation forms

Massachusetts Workers' Compensation Advisory Councilhttp://www.mass.gov/wcac/
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(617) 727-4900, ext. 378; Fax: (617) 727-7122
    Paul Byrne, Chairman
    Thomas M. Jones, Vice Chairman
    Andrew S. Burton, Executive Director

Workers’ Compensation Rating and Inspection Bureau of Massachusettshttps://www.wcribma.org/mass/
101 Arch Street
Boston, Massachusetts 02110
(617) 439-9030, Fax: (617) 439-6055
    Paul F. Meagher, President

Return to top of page


Michigan

State of Michiganhttp://www.michigan.gov/
Department of Labor & Economic Growthhttp://www.michigan.gov/cis
Street Address:
611 W. Ottawa
Lansing, Michigan 48909
Mailing Address:
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820, Fax: (517) 373-2129
    David C. Hollister, Director
Workers' Compensation Agencyhttp://www.michigan.gov/wca
Street Address:
State Secondary Complex
General Office Building
7150 Harris Drive
1st Floor, B-Wing
Lansing, Michigan 48913
Mailing Address:
Post Office Box 30016
Lansing, Michigan 48909
(888) 396-5041, (313) 456-2400, Fax: (313) 456-2424
E-mail: wcinfo@michigan.gov
    Bruno R. Czyrka, Deputy Director, (517) 322-1106, Fax: (517) 322-6689, bczyrk@michigan.gov
    Craig R. Petersen, Deputy Director, (517) 322-1106, Fax: (517) 322-1808, cpeter@michigan.gov
    Sue Bickel, Secretary, (517) 322-1106, Fax: (517) 322-6689, sbicke@michigan.gov
Free Workers’ Compensation forms

Board of Magistrateshttp://www.michigan.gov/wca/0,1607,7-191-26919---,00.html
Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380, Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987
    Jack A. Nolish, Chairman, (313) 456-3657, Fax: (313) 456-3651, janolis@michigan.gov

Workers' Compensation Appellate Commissionhttp://www.michigan.gov/cis/0,1607,7-154-10576_17495---,00.html
Street Address:
Victor Office Center, Third Floor
201 North Washington Square
Lansing, Michigan 48909
Mailing Address:
Post Office Box 30468
Lansing, Michigan 48909-7968
(517) 334-9719, Fax: (517) 334-9750
E-mail: wcacinfo@michigan.gov
    Jürgen O. Skoppek, Chairman
    James J. Kent
    Marie E. Martell
    Gregory A. Przybylo
    Winston A. Wheaton
    Joy L. Witte
    James Edward Wyszynski, Jr.

Michigan Economic Development Corporationhttp://medc.michigan.org/
300 North Washington Square
Lansing, Michigan 48913
(517) 373-9808
    Doug Rothwell, President and CEO
    Sabrina Keeley, Chief Operating Officer
    Michigan Business Guide to Workers' Compensationhttp://medc.michigan.org/services/workerscomp/
Compensation Cost Control Service
Victor Office Center, Fourth Floor
201 North Washington Square
Lansing, Michigan 48909-7968
(517) 373-9809, Fax: (517) 241-3689

Return to top of page


Minnesota

State of Minnesotahttp://www.state.mn.us/
Department of Labor and Industryhttp://www.doli.state.mn.us/
443 Lafayette Road North
St. Paul, Minnesota 55155-4307
(800) DIAL-DLI (342-5354), (651) 284-5005; TTY: (651) 297-4198
    Scott Brener, Commissioner

Workers' Compensation Divisionhttp://www.doli.state.mn.us/workcomp.html
443 Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI (342-5354) in Greater Minnesota, (651) 284-5005 in the St. Paul area, (800) 365-4584 or (218) 733-7810 in the Duluth area; Fax: (651) 284-5727
E-mail: DLI.Workcomp@state.mn.us
    Beth Hargarten, Assistant Commissioner
Free Workers’ Compensation forms

Workers' Compensation Court of Appealshttp://www.workerscomp.state.mn.us/
405 Minnesota Judicial Center
25 Dr. Martin Luther King Jr. Boulevard
St. Paul, Minnesota 55155
(651) 296-6526, Fax: (651) 297-2520, TTY/TDD: (800) 627-3529
    Thomas L. Johnson, Chief Judge
    William R. Pederson, Judge
    Miriam P. Rykken, Judge
    David A. Stofferahn, Judge
    Debra A. Wilson, Judge

Return to top of page


Mississippi

State of Mississippihttp://www.state.ms.us/its/msportal.nsf?Open
Mississippi Workers' Compensation Commissionhttp://www.mwcc.state.ms.us/
STREET ADDRESS:
    1428 Lakeland Drive
    Jackson, Mississippi 39216
MAILING ADDRESS:
    Post Office Box 5300
    Jackson, Mississippi 39296-5300
(601) 987-4200, Fraud: (601) 359-4250
    Ben Barrett Smith, Chairman, (601) 987-4258,  bsmith@mwcc.state.ms.us
    Barney Schoby, Commissioner, (601) 987-4254,  bschoby@mwcc.state.ms.us
    Beverly A. Bolton, (601) 987-4256,  bbolton@mwcc.state.ms.us
    Ray C. Minor, Executive Director, (601) 987-4205,  rminor@mwcc.state.ms.us
    Jo Ann McDonald, Commission Secretary, (601) 987-4200,  jmcdonald@mwcc.state.ms.us

Return to top of page


Missouri

State of Missourihttp://www.state.mo.us/
Department of Labor and Industrial Relationshttp://www.dolir.missouri.gov/index.htm
Street Address:
3315 West Truman Boulevard, Room 213
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 504
Jefferson City, Missouri 65102-0504
(573) 751-9691, Fax: (573) 751-4135
    Catherine B. Leapheart, Director, (573) 751-9691, Fax: (573) 751-4135, E-mail: Diroffice@dolir.mo.gov

Division of Workers' Compensationhttp://www.dolir.state.mo.us/wc/index.htm
Street Address:
3315 West Truman Boulevard, Room 131
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 58
Jefferson City, Missouri 65102-0058
(573) 751-4231, Fax: (573) 751-2012, Employee Hotline: (800) 775-2667, Employer Hotline: (888) 837-6069, Fraud and Noncompliance: (800)-592-6003, (573)-526-6630, Workers' Safety Program: (573) 526-3504
E-mail: Workerscomp@dolir.mo.gov
    Renèe Slusher, Director, (573) 751-4231, Fax: (573) 751-2012
Free Workers’ Compensation forms

  • Labor and Industrial Relations Commissionhttp://www.dolir.state.mo.us/lirc/index.htm
    Street Address:
        3315 West Truman Boulevard
        Jefferson City, Missouri 65102
    Mailing Address:
        Post Office Box 599
        Jefferson City, Missouri 65102-0599
    (573) 751-2461, Fax: (573) 751-7806
        Christopher S. Kelly, Chairman
        Matthew W. O'Neill, Commissioner
        Chris Wrigley, Commissioner
        Pamela M. Hofmann, Secretary
        Victorine R. Mahon, Chief Counsel

Return to top of page


Montana

State of Montanahttp://www.state.mt.us/
Montana State Fundhttp://www.montanastatefund.com/
Street Address:
    5 South Last Chance Gulch
    Helena, Montana 59601
Mailing Address:
    Post Office Box 4759
    Helena, Montana 59604-4759
(406) 444-6500, Claim Reporting/ Customer Service: (800) 332-6102, Fraud Reporting: (888) 682-7463
    Carl Swanson, President/CEO

Workers' Compensation Courthttp://wcc.dli.state.mt.us/
Street Address:
    1625 11th Avenue
    Helena, Montana
Mailing Address:
    Post Office Box 537
    Helena, Montana 59624-0537
(406) 444-7794, Fax: (406) 444-7798
E-mail: pkessner@state.mt.us
    Mike McCarter, Judge

Employment Relations Divisionhttp://erd.dli.state.mt.us/
Department of Labor & Industryhttp://dli.state.mt.us/
Post Office Box 8011
Helena, Montana 59624
(406) 444-6530, Fax: (406) 444-4140, Fraud: (800) 922-2873
    Pat Haffey, Commissioner, (406) 444-9091
    Chuck Hunter, Administrator

Self Insurers' Guaranty Fund
Post Office Box 4133
Missoula, Montana 59806
(406) 549-8849
    George Wood, Director

Return to top of page


Nebraska

State of Nebraskahttp://www.state.ne.us/
Workers' Compensation Courthttp://www.nol.org/home/WC/
State House, 13th Floor
Post Office Box 98908
Lincoln, Nebraska 68509-8908
(800) 599-5155 (in Nebraska only), (402) 471-6468 (Lincoln and out of state), Fax: (402) 471-2700
    Laureen K. Van Norman, Presiding Judge
    James K. Coe, Judge
    Paul E. LeClair, Judge
    Ronald L. Brown, Judge
    Joseph S. Ramirez, Judge
    Michael P. Cavel, Judge
    J. Michael Fitzgerald, Judge
    Carol Thompson, Administrator

Return to top of page


Nevada

State of Nevadahttp://www.nv.gov/

Department of Business & Industryhttp://dbi.state.nv.us/
In Northern Nevada: 
788 Fairview Avenue, Suite 100
Carson City, Nevada 89701-5491
(775) 687-4250, Fax: (775) 687-4266
E-Mail: biinfo@dbi.state.nv.us

In Southern Nevada: 
555 E. Washington Avenue, Suite 4900
Las Vegas, Nevada 89101
(702) 486-2750, Fax: (702) 486-2758
E-Mail: biinfo@dbi.state.nv.us

Division of Industrial Relationshttp://dirweb.state.nv.us/
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7260, Fax: (775) 687-6305
    D. Roger Bremner, Administrator, (775) 684-7260, Fax: (775) 687-6305, rbremner@govmail.state.nv.us
    John Laxalt, Assistant Administrator, (775) 684-7263, Fax: (775) 687-6305, jplaxalt@govmail.state.nv.us

Industrial Insurance Regulation Section—http://dirweb.state.nv.us/iirs.htm
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7270, Fax: (775) 687-6305

1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89014
(702) 486-9080, Fax: (702) 990-0364
    Charles J. Verre, Chief Administrative Officer, (702) 486-9087, cverre@govmail.state.nv.us

Nevada Attorney for Injured Workershttp://naiw.nv.gov/
    Nancyann Leeder, Nevada Attorney for Injured Workers

555 E. Washington Avenue, Suite 4800
Las Vegas, Nevada 89101
(702) 486-2830, Fax: (702) 486-2844
E-mail: NAIW@govmail.state.nv.us
    Gary Watson, Supervising Attorney

1000 East William Street, Suite 213
Carson City, Nevada 89710
(775) 687-4076, Fax: (775) 687-4134
E-mail: NAIW@govmail.state.nv.us
    Donna Sweger, Supervising Attorney
 

Employers Insurance Company of Nevadahttp://www.employersinsco.com/
9790 Gateway Drive, Suite 100
Reno, Nevada 89521

2550 Paseo Verde Parkway
Henderson, Nevada 89074-7117
(888) 682-6671; Claim Reporting: (888) 900-1455, Fax: (888) 527-3422; Underwriting/Insurance Services: (888) 682-6671 
E-mail: info@eigwc.com
    Douglas D. Dirks, President, Chief Executive Officer
    Mary-Lou Misrahy, Executive Vice President, Chief Operating Officer
    John Donaldson, Executive Vice President, Chief Financial Officer
    Lenard Ormsby, Executive Vice President, General Counsel
    Ann Nelson, Senior Vice President, Governmental Affairs
    Rich Anderson, Senior Vice President, Insurance Operations

Return to top of page


New Hampshire

State of New Hampshirehttp://www.state.nh.us/
Department of Laborhttp://www.state.nh.us/dol/index.html
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3177
    James D. Casey, Commissioner
    David M. Wihby, Deputy Commissioner
Workers' Compensation Divisionhttp://www.state.nh.us/dol/dol-wc/index.html
95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3174 (claims), (603) 271-2042 (coverage), (603) 271-6172 (self-insurance), (603) 271-3328 (vocational rehabilitation)
    Kathryn J. Barger, Director
Free Workers’ Compensation forms

Return to top of page


New Jersey

State of New Jerseyhttp://www.state.nj.us/
Department of Laborhttp://www.state.nj.us/labor/
John Fitch Plaza
Post Office Box 110
Trenton, New Jersey 08625
(609) 292-2323, Fax: (609) 633-9271
    Mark Boyd, Commissioner, (609) 292-2975, cmycoff@dol.state.nj.us
Division of Workers' Compensationhttp://www.nj.gov/labor/wc/wcindex.html
Post Office Box 381
Trenton, New Jersey 08625-0381
(609) 292-2515, Fax: (609) 984-2515
E-mail: dwc@dol.state.nj.us
    Peter Calderone, Chief Judge & Director, (609) 292-2414, fax: (609) 984-2515, peter.calderone@dol.state.nj.us
    Renee Ricciardelli, Administrative Supervising Judge, (609) 292-2414, fax: (609) 984-2515, renee.ricciardelli@dol.state.nj.us
Free Workers’ Compensation forms

N.J. Compensation Rating and Inspection Bureauhttp://www.njcrib.com/
60 Park Place
Newark, New Jersey 07102
(973) 622-6014, Fax: (973) 622-6110
    Grover E. Czech, Executive Director, (973) 622-6014, ext. 213
    Louis A. "Tony" Georges, Associate Executive Director, (973) 622-6014, ext. 215
    Roland E. Brazda III, Director, Underwriting, (973) 622-6014, ext. 214
    Frederick A. Huber, Director, Actuarial, (973) 622-6014, ext. 223
    Salvatore A. Nardone, Director, Experience Rating, (973) 622-6014, ext. 216
    John T. Skidmore, Director, Policy Review, (973) 622-6014, ext. 217

Return to top of page


New Mexico

State of New Mexicohttp://www.state.nm.us/
Workers' Compensation Administrationhttp://www.state.nm.us/wca/
Post Office Box 27198
Albuquerque, New Mexico 87125-7198
E-mail: WCAHotline@state.nm.us
(800) 255-7965, (505) 841-6000, Fax: (505) 841-6009, Help Line/Hot Line: (866) WORKOMP (967-5667)
    Paul D. Barber, Director
    George Lane, Assistant Director
    Laura Feight, Deputy Director for Administration
    Kenneth L. Payne, Deputy Director for Safety and Fraud
    Robert Aurbach, General Counsel
    Merilee Dannemann, Office of Policy Planning and Information (general contact for public information)
    Mark Llewellyn, Economic Research Bureau Chief
    Ned Fuller, Workers' Compensation Judge
    Gregory Griego, Workers' Compensation Judge
    Sara Harmon, Workers' Compensation Judge
    Terry Kramer, Workers' Compensation Judge
    Joan O'Connell, Workers' Compensation Judge
    Rosa Valencia, Workers' Compensation Judge
    Joseph Wiltgen, Workers' Compensation Judge

Return to top of page


New York

State of New Yorkhttp://www.state.ny.us/
New York State Workers' Compensation Boardhttp://www.wcb.state.ny.us/
100 Broadway-Menands
Albany, New York 12241
(518) 474-6670, Fax: (518) 473-1415
    Robert R. Snashall, Chairman
    Jeffrey R. Sweet, Vice Chairman
    Mona Bargnesi, Member
    Michael T. Berns, Member
    Leslie J. Botta, Member
    Candace K. Finnegan, Member
    Scott C. Firestone, Member
    A. Edel Groski, Member
    Karl A. Henry, Member
    Frances Libous, Member
    Carol G. McManus, Member
    Ellen O. Paprocki, Member
    Robert Zinck, Member
    Richard A. Bell, Executive Director
    David Austin, Advocate for Business— (800) 628-3331
    Edwin Ruff, Advocate for Injured Workers—(800) 580-6665
Free Workers’ Compensation forms

New York State Insurance Fundhttp://www.nysif.com/
199 Church Street
New York, New York 10007
(212) 312-9000, Fax: (212) 385-2073
    Henry Neal Conolly, Executive Director

Return to top of page


North Carolina

State of North Carolinahttp://www.sips.state.nc.us/
Department of Commercehttp://www.nccommerce.com/
Mailing Address:
4301 Mail Service Center
Raleigh, North Carolina 27699-4301
Street Address:
301 North Wilmington Street
Raleigh, NC 27020-0571
(919) 733-4151
E-mail: info@mail.commerce.state.nc.us
    Jim Fain, Secretary

North Carolina Industrial Commissionhttp://www.comp.state.nc.us/
Mailing Address:
4319 Mail Service Center
Raleigh, North Carolina 27699-4319
Street Address:
Dobbs Building (sixth floor)
430 North Salisbury Street
Raleigh, North Carolina 27603-5937
(919) 807-2500, Fax: (919) 715-0282
    Buck Lattimore, Chairman, (919) 807-2525,  lattimob@ind.commerce.state.nc.us
    Bernadine S. Ballance, Commissioner, (919) 807-2511,  ballancb@ind.commerce.state.nc.us
    Thomas J. Bolch, Commissioner, (919) 807-2516,  bolcht@ind.commerce.state..nc.us