Claim Reporting (administered by Millennium Risk Managers)

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 This email address is being protected from spambots. You need JavaScript enabled to view it., 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     

All questions concerning open claims should be directed to Millennium Risk Managers.

Millennium Risk Managers
P.O.  Box 43769
Birmingham, AL  35243

 Statewide Claim Forms

Below are the forms that are required state-wide. Some of these may also be required for MWCF claims