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In order to file a workers’ compensation claim, the injured
worker’s supervisor must fill out a
First Report of Alleged
Occupational Injury or Illness Form. This form can be downloaded from this
link or obtained from contacting the Nebraska Workers’ Compensation Court at
402-471-6468. The completed form should be sent directly to the State of
Nebraska’s third party administrator by fax or e-mail, or a claim may be called
in to the number below:
FARA
9140 West Dodge Road, Suite 418
Omaha NE 68114
FAX Claim Reporting: 877-297-3272
email Claim Reporting: claimopening@fara.com
To contact an Adjuster after a claim is reported:
Phone: 800-576-8492
FAX: 402-393-0265
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