Available Claim Forms
To submit a claim use one of the appropriate links below. If none are available for your particular claim, please contact us directly.
At WYWLT we have a dedicated claim department (with over 35 years of experience) that is available to assist you from initial claim reporting until your claim has been paid and resolved. We will take the initial claim report from you and submit it to the insurance company. We are here to act as your advocate and if you have issues with the handling of your claim, we want to know about it as soon as possible.
In most situations, you can call our office at (800) 749-9481 or (405) 843-9481 to report claims. You can also submit a claim using one of the appropriate links above. If there is not a link for your particular type of claim, please call our office and your claim will be taken over the phone.
CC-Form-2 Employer's First Notice of Injury