WORKERS COMP CLAIM KIT FORM
What is a Workers Comp Claim Kit?
A necessary form is required by Florida Comp laws in the event of a work-related injury or illness to receive benefits such as medical treatment or other workers comp benefits.
This is how to file a workers comp claim as soon as an event has occurred.Fill out this form when you are ready.
Filing a Workers Comp Claim
If you just had a jobsite accident to report, make sure you have done the following injury checklist:
● Inform the facility that there was a jobsite injury (workers comp).
● Inform the facility that a mandatory drug screening is required with treatment.
● Give the medical facility the Cornerstone’s claims department
(609) 451-0113 EXT 114 & claims@cornerstonepeo.com email for billing and treatment instructions.
● (609) 451-0113 and speak to a Cornerstone representative
● Complete the injury report below right away!
Note: All initial treatment, follow up treatment, and benefits MUST BE PROCESSED THROUGH THE INSURANCE COMPANY. Follow up treatments or therapy’s will not be covered outside of the carrier’s network.
We are dedicated to providing the best treatment and benefits to the injured employee. We will be in contact with you quickly.
Thank you!
Cornerstone Claims Team
