Claims - Pete Calamas, Director of Claims

The Claims Division is responsible for the investigation, evaluation and development of action to reach a final decision for each claim. Conflicts of a non-judicial matter are resolved in the claims division.

• NOTICE TO SECOND INJURY FUND
• INFORMATION NEEDED FOR SECOND INJURY FUND INVESTIGATION
• MEDICAL QUESTIONNAIRE
• ADJUSTERS AND ASSIGNED COUNTY CODES
• NOTICE OF POSSIBLE SECOND INJURY FUND CLAIM
• REIMBURSEMENT REQUEST FORM-(front)
• REIMBURSEMENT REQUEST FORM (back)