Claim Reporting

Members of the Municipal Workers Comp Fund can report work injury claims 24 hours a day, 7 days a week by filling out the First Report of Injury Form and emailing the form to FROI@mrm-llc.com, or fax to (205) 263-0503. All claims should be reported immediately upon notification to the employer.

You will need the following information to complete the form:

  • Injured worker's: Name; Address; Telephone Number; Social Security Number; Date of Hire and Date of Birth
  • Date of Injury and Description of Injury
  • Name and Address of Medical Provider
  • Wage Information
  • Ten-Digit Alabama Employer Unemployment Compensation Number

Claims for the Municipal Workers Compensation Fund are administered by:

Millennium Risk Managers
P.O. Box 43769
Birmingham, AL  35243
1-888-736-0210