List of All 50 State’s and D.C.’s Worker’s Compensation Agencies

The attorneys at Hiden Rott & Oertle, LLP work to find creative solutions to our clients’ problems. To speak with a San Diego work injury attorney about your legal issue, contact us at 619-296-5884 or through our online form to schedule a free initial consultation. This workers’ compensation administrators directory was originally compiled by Robert W. McDowell for the North Carolina Industrial Commission, 4340 Mail Service Center, Raleigh, North Carolina 27699-4340. It has been updated to reflect changes in contact information as of 2014.

If you are looking for an overview of State Workers’ Compensation Laws, the U.S. Department of Labor (http://www.dol.gov/) provides one in PDF.

TABLE OF CONTENTS FOR THIS PAGE

United States and D.C.: U.S. Department of Labor
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Other U.S. Areas:

American Samoa
Guam
Navajo Nation
Northern Mariana Islands
Puerto Rico
Virgin Islands

United States and D.C.

U.S. Department of Labor

U.S. Department of Labor (DOL)—http://www.dol.gov/

200 Constitution Avenue NW
Washington, District of Columbia 20210
(202) 693-6000

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Alabama

State of Alabama—http://www.al.gov/
Department of Industrial Relations—http://dir.alabama.gov/

Workers’ Compensation Division—http://dir.alabama.gov/wc/

Industrial Relations Building
649 Monroe Street
Montgomery, Alabama 36131
(800) 528-5166, (334) 242-2868; Fax: (334) 353-8262 (Administrative/TPAs/Assessments/Self-Insurance),
(334) 353-8228 (Examiners/Ombudsman), (334) 353-0840 (Claims), (334) 353-8490 (Compliance/Drug Free/Medical/Education); Fraud: (800)
923-2533; Ombudsman: (800) 528-5166, (334) 242-2868 (in Montgomery area)

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Alaska

State of Alaska—http://www.state.ak.us/

Department of Labor and
Workforce Development
—http://www.labor.state.ak.us/home.htm

Workers’ Compensation Division—http://www.labor.state.ak.us/wc/wc.htm

Post Office Box 25512
Juneau, Alaska 99802-5512
(907) 465-2790; Fax: (907) 465-2797

Workers’ Compsensation Board
Department of Labor
Post Office Box 25512
M/S 0700
Juneau, Alaska 99802-5512
(907) 465-2790, Fax: (907) 465-2797

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Arizona

State of Arizona—http://www.state.az.us/

Industrial Commission of Arizona—http://www.ica.state.az.us/

800 West Washington
Phoenix, Arizona 85007
or
Post Office Box 19070
Phoenix, Arizona 85005-9070
(602) 542-4411, Fax: (602) 542-7889; Ombudsman: (602) 542-4538, Fax: (602)542-4350
Click here to download free fillable PDF versions of Arizona workers’compensation forms

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Arkansas

State of Arkansas—http://www.state.ar.us/

Workers’ Compensation Commission—http://www.awcc.state.ar.us/

Street Address:
324 Spring Street Little Rock, Arkansas 72203 Mailing Address:
Post Office
Box 950 Little Rock, Arkansas 72203-0950
(800) 622-4472, (501) 682-3930; Fax: (501) 682-2777; Legal Advisor
Direct: (800) 250-2511; TDD: (800) 285-1131
Arkansas Relay System TDD: (800) 285-1131

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California

State of California—http://www.ca.gov/

Department of Industrial Relations—http://www.dir.ca.gov/

Commission on Health and Safety and
Workers’ Compensation
(CHSWC)—http://www.dir.ca.gov/CHSWC/chswc.html
455 Golden Gate Avenue, 10th Floor
San Francisco, California 94102
(415) 557-1304, Fax: (415) 703-4234, E-mail: chswc@hq.dir.ca.gov

Division of Workers’
Compensation
(DWC)—http://www.dir.ca.gov/DWC/dwc_home_page.htm
Street Address:
455 Golden Gate Avenue, 9th Floor San Francisco, California 94102-3660
Mailing Address: Post Office Box 420603 San Francisco,
California 94142 E-mail: dwc@dir.ca.gov (415) 703-4600 ; Fax: (415) 703-3971

Click here to download free fillable PDF versions of California workers’ compensation forms

Industrial Medical Council (IMC)—http://www.dir.ca.gov/IMC/imchp.html

Post Office Box 8888
San Francisco, California 994128-8888
(800) 794-6900 (in California), (650) 737-2000

Workers’ Compensation Appeals
Board
(WCAB)—http://www.dir.ca.gov/WCAB/wcab.htm Street
Address:
455 Golden
Gate Avenue, Suite 9328 San Francisco, California 94102-3660
Mailing Address: Post Office Box 429459 San Francisco,
California 94142-9459 (415) 703-4580

Self-Insurance Plans (SIP)—http://www.dir.ca.gov/SIP/sip.html

2265 Watt Avenue, Suite 1
Sacramento, California 95825
(916) 483-3392; Fax: (916) 483-1535
E-mail: SIP@dir.ca.gov

State Compensation Insurance Fund (SCIF)—http://www.statefundca.com/

1275 Market Street
San Francisco, California 94103
(415) 565-1234, Claims Reporting Service (toll free): (888) 222-3211

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Colorado

State of Colorado—http://www.colorado.gov/

Department of Labor &
Employment
—http://www.coworkforce.com/

Division of Workers’ Compensation—https://www.colorado.gov/pacific/cdle/dwc

1515 Arapahoe Street
Tower 2, Suite 500
Denver, Colorado 80202-2117
(888) 390-7936, (800) 685-0891 (Spanish), (303) 575-8700, Fax:
(303) 318-8710, E-mail: workers.comp@state.co.us

Click here to download free fillable PDF versions of Colorado workers’ compensation forms

Industrial Claims Appeals Office
Workers’ Compensation: (303) 620-4277
Unemployment Insurance: (303) 620-4272
1515 Arapahoe Street
Tower 2, Suite 350
Denver, Colorado 80202
(303) 894-2378

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Connecticut

State of Connecticut—http://www.ct.gov/

Workers’ Compensation Commission—http://wcc.state.ct.us/

Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(860) 493-1500, Fax: (860) 247-1361
Click here to download free fillable PDF versions of Connecticut workers’ compensation forms

Compensation Review Board (CRB)—http://wcc.state.ct.us/index2.htm

Capitol Place
21 Oak Street, Fourth Floor
Hartford, Connecticut 06106
(203) 493-1500, Fax: (203) 247-1361

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Delaware

State of Delaware—http://www.state.de.us/

Department of Labor—http://www.delawareworks.com/

4425 North Market Street
Wilmington, Delaware 19802
Division of
Industrial Affairs
—http://dia.delawareworks.com/

4425 North Market Street
Wilmington, Delaware 19802
Office of
Workers’ Compensation
—http://dia.delawareworks.com/workers-comp/

State Office Building, Sixth Floor
820 North French Street
Wilmington, Delaware 19801

District of Columbia

District of Columbia—http://www.dc.gov/
Department of Employment Services—http://does.dc.gov/
Government of the District of Columbia
64 New York Avenue, N.E.
Washington, District of Columbia 20002
(202) 724-7000, Fax: (202) 724-5683, TDD/TYY: (202) 673-6994
E-mail: does@dc.gov

Labor Standards Bureau
64 New York Avenue, N.E., Room 3129
Washington, District of Columbia 20002
(202) 671-1555, Fax: (202) 673-6412


Office of Workers’ Compensation
—http://does.dc.gov/page/office-workers-compensation-does
Mailing Address:
Post Office Box 56098
Washington, District of Columbia 20002
Street Address:
64 New York Avenue, N.E., Room 2909
Washington, District of Columbia 20002
(202) 671-1000, Fax: (202) 671-1929

Office
of Hearings and Adjudication
—http://does.dc.gov/page/administrative-hearings
64 New York Avenue, N.E., Room 2011
Washington, District of Columbia 20002
(202) 671-2233, Fax: (202) 673-6938

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Florida

State of Florida—http://www.myflorida.com/

Florida Department of Financial Services—http://www.fldfs.com/

Division of Workers’ Compensation—http://www.fldfs.com/WC/
301 Forrest Building
2728 Centerview Drive
Tallahassee, Florida 32399-0680
(850) 921-6966;
Fax: (850) 922-6779; Fraud: (800) 742-2214 (in Florida) (Department of Insurance, Bureau of Workers’ Compensation Fraud:
(850) 413-3116); Safety: (800) 367-4378 (in Florida), (850) 488-3044

E-mail: WorkCompCusServ@dfs.state.fl.us

Click here to download free fillable PDF versions of Florida workers’ compensation forms

Florida Division of Administrative Hearings—http://www.doah.state.fl.us/internet/
Office of Judges of
Compensation Claims
—http://www.jcc.state.fl.us/jcc/

Petition for Benefits:
Post Office Box 8000
Tallahassee, Florida 32314-8000
Filing:
Post Office Box 6350
Tallahassee, Florida 32314-6350
Request for Assignment of Case Number:
Post Office Box 6410
Tallahassee, Florida 32314-6410
(850) 487-1911, SUNCOM 277-1911

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Georgia

State of Georgia—http://georgia.gov/

Georgia State Board of Workers’ Compensation—http://www.ganet.org/sbwc/

270 Peachtree Street, NW
Atlanta, Georgia 30303-1299
(800)
533-0682, (404)
656-3875, Fax: (404) 656-7768, Enforcement Division: (404)
657-1391, Safety Library: (404) 656-9057
Click here to download free fillable PDF versions of Georgia workers’ compensation forms

Georgia Subsequent Injury Trust Fund—http://www.ganet.org/sitf/

Suite 500, North Tower
1720 Peachtree Street, NW
Atlanta, Georgia 30309-2420
(404) 206-6360, Fax: (404) 206-6363, TDD: (404) 206-5053

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Hawaii

State of Hawaii—http://www.hawaii.gov/

Department of Labor & Industrial Relations
(DLIR)—http://labor.hawaii.gov/
Disability Compensation Division
830 Punchbowl Street, Room 209
Honolulu, Hawaii 96813
(808) 586-9174, Fax: (808) 586-9219E-mail: pstanley@pixi.com

Labor & Industrial Relations Appeals Board
888 Mililani Street, Room 400
Honolulu, Hawaii 96813
(808) 586-8600, Fax: 586-8613
E-mail: pstanley@pixi.com

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Idaho

State of Idaho—http://www2.state.id.us/

Industrial Commission—http://labor.hawaii.gov/

317 Main Street
Post Office Box 83720
Boise, Idaho 83720-0041
(800) 950-2110, (208) 334-6000; Fax: (208) 334-2321; TDD: (800)
950-2110

State Insurance Fund—http://www.idahosif.org/

1215 West State Street
Post Office Box 83720
Boise, Idaho 83720-0044
(800) 334-2370, (208) 334-2370 (in the Boise area); Fax: (208) 334-2262
(Policyholder Services, Administration, Management Services, Legal), (208) 334-3253
(Claims), (208) 334-3254 (Underwriting); Fraud: (800) 448-ISIF (4743)

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Illinois

State of Illinois—https://www.illinois.gov/Pages/default.aspx

Industrial Commission—http://www.iwcc.il.gov/

100 West Randolph Street, Suite 8-200
Chicago, Illinois 60601
(312) 814-6611, Fax: (312) 814-6523
Click here to download free fillable PDF versions of Illinois workers’ compensation forms

Office of Self-Insurance Administration
701 South Second Street
Springfield, Illinois 62704
(217) 785-7084, Fax: (217) 785-6557

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Indiana

State of Indiana—http://www.in.gov/

Workers’ Compensation Board of Indiana—http://www.in.gov/workcomp/
Government Center South
402 West Washington Street, Room W-196
Indianapolis, Indiana 46204
(317) 232-3808; Claims/Statistics: (317) 233-4930; Fax: (317) 233-5493;
Insurance: (317) 233-3910; Ombudsman: (800) 824-COMP (2667), (317)
232-5922

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Iowa

State of Iowa—http://www.state.ia.us/

Iowa Workforce Development—http://www.iowaworkforce.org/

1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA, (515) 281-5387
Iowa Division of Workers’ Compensation—http://www.iowaworkforce.org/wc/
1000 East Grand Avenue
Des Moines, Iowa 50319-0209
(800) JOB-IOWA (562-4692), (515) 281-5387; Fax: (515) 281-6501

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Kansas

State of Kansas—http://www.kansas.gov/

Department of Human Resources—http://www.dol.ks.gov/workcomp/

Kansas Workers’ Compensation—http://www.dol.ks.gov/workcomp/

800 SW Jackson, Suite 600
Topeka, Kansas 66612-1227
(800) 332-0353, (785) 296-3441; Fax: (785) 296-0839; Fraud: (800)
332-0353, (785) 296-6392; Industrial Safety & Health: (800) 332-0353,
(785) 296-4386; Ombudsman: (800) 332-0353, (785) 296-2996

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Kentucky

Commonwealth of Kentucky—http://kentucky.gov/

Kentucky Department of Labor—http://labor.ky.gov/
1047 U.S. 127S, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070
Office of Workers’ Claims—http://www.labor.ky.gov/workersclaims/Pages/Department-of-Workers’-Claims.aspx
657 Chamberlin Avenue
Frankfort, Kentucky 40601
(502) 564-5550 (Administrative Services, Open Records); Fax: (502) 564-8250
(Administrative Services), (502) 564-9533 (Ombudsman), (502) 564-5732 (Open
Records), (502) 564-0916 (Security and Compliance); Ombudsman: (800) 554-8601
(Frankfort), (800) 554-8603 (Paducah), (800) 554-8602
(Pikeville); Security and Compliance: (502) 564-5550

E-mail: kywc.ombudsman@mail.state.ky.us

Click here to download free fillable PDF versions of Kentucky workers’ compensation forms

Workers’ Compensation Board

Division of Workers’ Compensation Funds
1047 U.S. 127 South, Suite 4
Frankfort, Kentucky 40601
(502) 564-3070, ext. 391

Workers’ Compensation Funding Commission
#42 Millcreek Park
Post Office Box 1220
Frankfort, Kentucky 40602-1220
(502) 573-3505, Fax: (502) 573-4923

Kentucky Workers’ Compensation Law (via CompEd, Inc.)—http://www.comped.net/

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Louisiana

State of Louisiana—http://www.state.la.us/

Department of Labor—http://www.laworks.net/
Mailing Address:
Post Office Box 94094
Baton Rouge, Louisiana 70804-9094
Street Address:
1001 North 23rd Street
Baton Rouge, Louisiana 70804
(225) 342-3111

Office of Workers’ Compensation
Administration
—http://www.laworks.net/workerscomp/owc_mainmenu.asp
Mailing Address:
Post Office Box 94040
Baton Rouge, Louisiana 70804-9040
Street Address:
1001
North 23rd Street
Baton Rouge, Louisiana 70802
(225)
342-7555, Fax: (225) 342-5665, Fraud: (800) 201-3362, Safety:
(800) 201-2497

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Maine

State of Maine—http://www.state.me.us/
Workers’ Compensation Board—http://www.state.me.us/wcb/
27 State House Station
Augusta, Maine 04333-0027
(207) 287-7096; Fax: (207) 287-7198
Click here to download free fillable PDF versions of Maine workers’ compensation forms

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Maryland

State of Maryland—http://www.maryland.gov/Pages/default.aspx

Maryland Workers’ Compensation Commission—http://www.wcc.state.md.us/

10 East Baltimore Street Baltimore, Maryland 21202 (800) 492-0479,
(410) 864-5100; Fax: (410) 333-8122

Click here to download free fillable PDF versions of Maryland workers’ compensation forms

Insured Workers’ Insurance Fund—http://www.iwif.com/

8722 Loch Raven Boulevard
Towson, Maryland 21286-2235
(800) 492-0197, (410) 494-2200 Fax: (410) 494-2001

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Massachusetts

Commonwealth of Massachusetts—http://www.state.ma.us/

Department of Industrial Accidents—http://www.mass.gov/lwd/workers-compensation/

600 Washington Street, 7th Floor
Boston, Massachusetts 02111
(800) 323-3249, (617) 727-4900; Fax: (617) 727-6477; TTY: (800)
224-6196
Click here to download free fillable PDF versions of Massachusetts workers’ compensation forms

Massachusetts Workers’ Compensation
Advisory Council
—http://www.mass.gov/lwd/workers-compensation/wcac/
600 Washington Street, Seventh Floor
Boston, Massachusetts 02111
(617) 727-4900 x378,Fax: (617) 727-7122

Workers’
Compensation Rating and Inspection Bureau of Massachusetts
—http://www.wcribma.org/
101 Arch Street
Boston, Massachusetts 02110
(617) 439-9030, Fax: (617) 439-6055

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Michigan

State of Michigan—http://www.michigan.gov/
Department of Consumer & Industry
Services
—http://www.cis.state.mi.us/home.htm
G. Mennen William Building
525 W. Ottawa
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820
Bureau of Workers’ & Unemployment Disability
Compensation

Street Address:
State Secondary Complex
General Office Building
7150 Harris Drive
First Floor, B-Wing
Lansing, Michigan 48913
Mailing Address:
Post Office Box 30016
Lansing, Michigan 48909
(888) 396-5041, (517) 322-1296, Fax: (517) 322-1808, TDD in Lansing: (517) 322-5987
Click here to download free fillable PDF versions of Michigan workers’ compensation forms

Board of Magistrates—http://www.cis.state.mi.us/wkrcomp/bmag/home.htm

Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380, Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987

Workers’ Compensation
Appellate Commission
—http://www.cis.state.mi.us/wkrcomp/wcac/home.htm
Victor Office Center, Third Floor
201 North Washington Square
Post Office Box 30468
Lansing, Michigan 48909-7968
(517) 335-5828, Fax: (517) 335-5829

Michigan Economic
Development Corporation
—http://www.michiganbusiness.org/
300 North Washington Square
Lansing, Michigan 48913
(517) 373-9808
Michigan
Business Guide to Workers’ Compensation
—http://medc.michigan.org/services/workerscomp/
Compensation Cost Control Service
Victor Office Center, Fourth Floor
201 North Washington Square
Lansing, Michigan 48909-7968
(517) 373-9809, Fax: (517) 241-3689

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Minnesota

State of Minnesota—http://labor.mo.gov/

Department of Labor & Industry—http://www.doli.state.mn.us/

443 Lafayette Road
St. Paul, Minnesota 55155
(800) DIAL-DLI ( 342-5354), (651) 284-5000; TTY: (612)
297-4198

Workers’ Compensation Division—http://www.dli.mn.gov/workcomp.asp
443 Lafayette Road North
St. Paul, Minnesota 55155
(800) DIAL-DLI ( 342-5354) in Greater Minnesota, (800) 342-5354
or (651) 284-5005 in the St. Paul area, (800) 365-4584 or (218)
723-4670 in the Duluth area; Fax: (651) 282-5405; Fraud: (888) 372-8366,
(651) 297-5797, TDD: (651) 297-4198
Click here to download free fillable PDF versions of Minnesota workers’ compensation forms

Workers’ Compensation Court of Appeals—http://www.workerscomp.state.mn.us/
405 Minnesota Judicial Center
25 Constitution Avenue
St. Paul, Minnesota 55155
(651) 296-6526, Fax: (651) 297-2520, TTY/TDD: (800) 627-3529

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Mississippi

State of Mississippi—http://www.state.ms.us/its/msportal.nsf?Open

Mississippi Workers’ Compensation Commission—http://www.mwcc.state.ms.us/
Street Address:
1428 Lakeland Drive
Jackson, Mississippi 39216
Mailing Address:
Post Office Box 5300
Jackson, Mississippi 39296-5300
(601) 987-4200, Fraud: (601) 359-4250

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Missouri

State of Missouri—http://www.state.mo.us/ Department of Labor and
Industrial Relations
—http://www.mo.gov/government/guide-to-missouris-government/department-of-labor-and-industrial-relations/
Street Address:
3315 West Truman Boulevard, Room 213
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 504
Jefferson City, Missouri 65102-0504
(573) 751-9691, Fax: (573) 751-4135

Division of Workers’
Compensation
—http://labor.mo.gov/dwc
Street Address:

3315 West Truman Boulevard, Room 131
Jefferson City, Missouri 65102
Mailing Address:
Post Office Box 58
Jefferson City, Missouri 65102-0058
(573) 751-4231, Fax: (573) 751-2012, Employee Hotline: (800) 775-2667,
Employer Hotline: (888) 837-6069,
Fraud and Noncompliance: (800)-592-6003, (573)-526-6630,
Workers’ Safety Program: (573) 526-3504
E-mail: Workerscomp@dolir.mo.gov
Click here to download free fillable PDF versions of Missouri workers’ compensation forms

Labor and Industrial Relations
Commission
—http://labor.mo.gov/lirc
3315 West Truman Boulevard
Jefferson City, Missouri 65102
or
Post Office Box 599
Jefferson City, Missouri 65102-0599
(573) 751-2461, Fax: (573) 751-7806

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Montana

State of Montana—http://mt.gov/

Montana State Fund—http://www.montanastatefund.com/

STREET ADDRESS:
5 South Last Chance Gulch
Helena, Montana 59601
MAILING ADDRESS:
Post Office Box 4759
Helena, Montana 59604-4759
(406) 444-6500, Claim Reporting/Customer Service: (800) 332-6102, Fraud Reporting: (888) 682-7463

Workers’ Compensation Court—http://wcc.dli.mt.gov/

1625 11th Avenue
Helena, Montana
or
Post Office Box 537
Helena, Montana 59624-0537
(406) 444-7794, Fax: (406) 444-7798
E-mail: pkessner@state.mt.us

Employment Relations Division—http://erd.dli.mt.gov/

Department of Labor & Industry—http://dli.mt.gov/

Post Office Box 8011
Helena, Montana 59624
(406) 444-6530, Fax: (406) 444-4140, Fraud: (800) 922-2873

Self Insurers’ Guaranty Fund
Post Office Box 4133
Missoula, Montana 59806
(406) 549-8849

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Nebraska

State of Nebraska—http://www.state.ne.us/

Workers’ Compensation Court—http://www.nol.org/home/WC/

State House, 13th Floor
Post Office Box 98908
Lincoln, Nebraska 68509-8908
(800) 599-5155 (in Nebraska only), (402) 471-6468 (Lincoln and out of
state), Fax: (402) 471-2700

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Nevada

 

State of Nevada—http://www.nv.gov/

Department of Business & Industry—http://business.nv.gov/
In Northern Nevada:
788 Fairview Avenue, Suite 100
Carson City, Nevada 89701-5491

(775) 687-4250, Fax: (775) 687-4266
E-Mail: biinfo@dbi.state.nv.us

In Southern Nevada:
555 E. Washington Avenue, Suite 4900
Las Vegas, Nevada 89101

(702) 486-2750, Fax: (702) 486-2758
E-Mail: biinfo@dbi.state.nv.us

Division of Industrial
Relations
—http://dirweb.state.nv.us/
400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7260, Fax: (775) 687-6305

Industrial Insurance Regulation
Section
—http://dirweb.state.nv.us/

400 West King Street, Suite 400
Carson City, Nevada 89703
(775) 684-7270, Fax: (775) 687-6305

1301 North Green Valley Parkway, Suite 200
Henderson, Nevada 89014
(702) 486-9080, Fax: (702) 990-0364

Nevada Attorney for Injured
Workers
—http://naiw.nv.gov/

555 E. Washington Avenue, Suite 4800
Las Vegas, Nevada 89101
(702) 486-2830, Fax: (702) 486-2844

E-mail: NAIW@govmail.state.nv.us

1000 East William Street, Suite 213
Carson City, Nevada 89710
(775) 687-4076, Fax: (775) 687-4134
E-mail: NAIW@govmail.state.nv.us

Employers Insurance Company of Nevada—http://www.employersinsco.com/

9790 Gateway Drive, Suite 100
Reno, Nevada 89521

2550 Paseo Verde Parkway
Henderson, Nevada 89074-7117
(888) 682-6671; Claim Reporting: (888) 900-1455, Fax: (888)
527-3422; Underwriting/Insurance Services: (888) 682-6671
E-mail: info@eigwc.com

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New Hampshire

State of New Hampshire—http://www.state.nh.us/

Department of Labor—http://www.nh.gov/labor/workers-comp/

95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3177
Workers’ Compensation Division—http://www.nh.gov/labor/workers-comp/

95 Pleasant Street
Concord, New Hampshire 03301
(603) 271-3174 (claims), (603) 271-2042 (coverage), (603) 271-6172
(self-insurance), (603) 271-3328 (vocational rehabilitation)
Click here to download free fillable PDF  versions of New Hampshire workers’ compensation forms

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New Jersey

State of New Jersey—http://www.state.nj.us/

Department of Labor—http://www.state.nj.us/labor/

John Fitch Plaza
Post Office Box 110
Trenton, New Jersey 08625
(609) 292-2323, Fax: (609) 633-9271
Division of Workers’
Compensation
—http://lwd.dol.state.nj.us/labor/wc/wc_index.html
Post Office Box 381
Trenton, New Jersey 08625-0381
(609) 292-2515, Fax: (609) 984-2515
E-mail: dwc@dol.state.nj.us
Click here to download free fillable PDF versions of New Jersey workers’ compensation forms

N.J. Compensation Rating and Inspection Bureau—http://www.njcrib.com/
60 Park Place
Newark, New Jersey 07102
(973) 622-6014, Fax: (973) 622-6110

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New Mexico

State of New Mexico—http://www.state.nm.us/

Workers’ Compensation Administration—http://www.workerscomp.state.nm.us/

Post Office Box 27198
Albuquerque, New Mexico 87125-7198
E-mail: WCAHotline@state.nm.us
(800) 255-7965, (505) 841-6000, Fax: (505) 841-6009, Help
Line/Hot Line: (866) WORKOMP (967-5667)

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New York

State of New York—http://www.state.ny.us/

New York State Workers’ Compensation Board—http://www.wcb.ny.gov/

100 Broadway-Menands
Albany, New York 12241
(518) 474-6670, Fax: (518) 473-1415

Click here to download free fillable PDF versions of New York workers’ compensation forms

New York State Insurance Fund—http://www.nysif.com/

199 Church Street
New York, New York 10007
(212) 312-9000, Fax: (212) 385-2073

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North Carolina

State of North Carolina—http://www.ncgov.com/

Department of Commerce—http://www.nccommerce.com/

Mailing Address:
4301 Mail Service Center
Raleigh, North Carolina 27699-4301
Street Address:
301 North Wilmington Street
Raleigh, NC 27020-0571
(919) 733-4151

North Carolina Industrial Commission—http://www.ic.nc.gov/claimants.html

Mailing Address:
4319 Mail Service Center
Raleigh, North Carolina 27699-4319
Street Address:
Dobbs Building (sixth floor)
430 North Salisbury Street
Raleigh, North Carolina 27603-5937
(919) 807-2500, Fax: (919) 715-0282
Fraud
Investigations Section
: (888) 891-4895 (in North Carolina)—http://www.ic.nc.gov/fraud.html

Ombudsman
Section
: (800) 688-8349—http://www.nj.gov/ooie/

Safety
Education Section
: (919) 807-2603—http://www.state.nj.us/education/students/safety/behavior/504/

Click here to download free fillable PDF versions of North Carolina workers’ compensation forms

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North Dakota

State of North Dakota—http://discovernd.com/

Workforce Safety & Insurance—http://www.WorkforceSafety.com/
1600 East Century Avenue, Suite One
Bismarck, North Dakota 58506-5585
(800) 777-5033, (701) 328-3800; Fax: (701) 328-3820; Fraud:
(800) 243-3331; Safety and Loss Prevention: (701) 328-3886; TDD: (701)
328-3786
E-mail: WorkforceSafety@wcb.state.nd.us
Workforce Safety & Insurance Board of Directors
Post Office Box 2174

Bismarck, North Dakota 58502-2174

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Ohio

State of Ohio—http://www.state.oh.us/

Ohio Bureau of Workers’ Compensation—http://www.ohiobwc.com/

30 West Spring Street
Columbus, Ohio 43215-2256

E-mail: Feedback@bwc.state.oh.us
(800) OHIOBWC, (614) 644-6292, Fax: (614) 752-9021

Click here to download free fillable PDF versions of Ohio workers’ compensation forms

Industrial Commission of Ohio—http://www.ohioic.com/index.jsp

30 West Spring Street
Columbus, Ohio 43215-2256
(800) 521-2691, (614) 466-6136, Fax: (614) 752-8304

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Oklahoma

State of Oklahoma—http://www.state.ok.us/

Department of Labor—http://www.okdol.state.ok.us/ 4001 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105-5212 (888) 269-5353, (405)
528-1500 Fax: (405) 528-5751
Workers’
Enforcement
Compensation Division
—http://www.ok.gov/oid/Consumers/Workers’_Compensation/

Oklahoma Workers’
Compensation Court
—http://www.owcc.state.ok.us/
Denver N. Davison Court Building
1915 North Stiles
Oklahoma City, Oklahoma 73105
(800) 522-8210 (statewide), (405) 522-8600, Fax: (405) 522-8687 (administration),
(405) 522-8683 (2nd floor offices), (405)
522-8651 (records department)

CompSource Oklahoma—http://www.compsourceok.com/
(formerly the Oklahoma State Insurance Fund) Mailing Address: Post Office Box 53505 Oklahoma City, Oklahoma
73152-3505
Street Addresses:
(Administration, Claims, Financial Services, Special Investigations)
1901 North Walnut Avenue
Oklahoma City, Oklahoma
73105
(Policyholder Services, Information Systems)
410 North Walnut Avenue Oklahoma City, Oklahoma
73104
(800) 872-7015 (Report an Injury), (405)
232-7663, Fax: (405) 552-5800,
Fraud: (800) 899-1847

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Oregon

State of Oregon—http://www.state.or.us/

Department of Consumer & Business Services—http://www.cbs.state.or.us/
350 Winter Street NE
Salem, Oregon 97301-3878

(503) 378-4100, Fax: (503) 378-6444

Workers’ Compensation Division—http://wcd.oregon.gov/

350 Winter Street NE, Room 27
Salem, Oregon 97301-3879
(800) 452-0288 (Workers’ Compensation Infoline); (503) 947-7810, Fax: (503)
947-7514; TTY: (503) 947-7993; Fraud Hotline: (800) 422-8778 (in
Oregon); Small Business Ombudsman: (503) 378-4209, Fax: (503) 373-7639;
Ombudsman for Injured Workers: (800) 927-1271, (503) 378-3351, Fax: (503)
373-7639

Workers’
Compensation Board
—http://www.cbs.state.or.us/wcb/ 2601 25th
Street SE, Suite 150 Salem, Oregon 97302-1282 (503) 378-3308

Workers’
Compensation Management-Labor Advisory Committee
—http://www.cbs.state.or.us/mlac/ Department of
Consumer & Business Services 350 Winter Street, Room 200 Salem,
Oregon 97301-3878 (503) 947-7867; Fax: (503) 378-6444

Ombudsman
for Injured Workers

http://www.cbs.state.or.us/external/wco/index.html 350 Winter Street
NE, Room 160 Salem, Oregon 97310 (800) 927-1271, (503)
378-3351

Ombudsman for
Small Business
—http://www.cbs.state.or.us/external/sbo/index.html 350 Winter Street
NE Salem, Oregon 97301-3878
(503) 378-4209, V/TTY: (503) 378-4100
SAIF Corporation—http://www.saif.com/ 400 High Street
SE Salem, Oregon 97312-1000 (800) 285-8525, (503)
373-8000

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Pennsylvania

State of Pennsylvania—http://www.state.pa.us/ Department of Labor and Industry—http://www.dli.state.pa.us/
Labor & Industry Building
Room 1700
7th and Forster Streets
Harrisburg, Pennsylvania 17120
(717) 787-5279 Bureau of Workers’ Compensation—http://www.dli.state.pa.us/landi/cwp/view.asp?a=138&Q=58929&landiPNav=|#1026 1171 South Cameron Street, Room
324
Harrisburg, Pennsylvania 17104-2501 (800) 482-2383
(inside Pennsylvania), (717) 772-4447 (local/out
of state), TTY: (800) 362-4228
(for hearing and speech impaired only)

E-mail:ra-li-bwc-helpline@state.pa.us

Click here to download free fillable PDF versions of Pennsylvania workers’ compensation forms

State
Workers’ Insurance Fund
—http://www.dli.state.pa.us/landi/cwp/view.asp?a=151&Q=58236&landiNavDLTEST=|852|1065|2548|

100 Lackawanna Avenue
Scranton, Pennsylvania 18503
(570) 963-4635

Workers’ Compensation Appeal Board
1171 South Cameron Street, Room 305
Harrisburg, Pennsylvania 17104-2511
(717) 783-7838

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Rhode Island

State of Rhode Island—http://www.state.ri.us/

Workers’ Compensation Court
One Dorrance Plaza
Providence, Rhode Island 02903
(401) 277-3097, Fax: (401) 421-3123

Department of Labor and Training—http://www.dlt.state.ri.us/
1511 Pontiac Avenue
Cranston, Rhode Island 02920-4407
(401) 462-8000
Workers’ Compensation Division
1511 Pontiac Avenue
Cranston, Rhode Island 02920-0942
Post Office Box 20190
Cranston, Rhode Island 02920-0190
(401) 462-8100, Fax: (401) 462-8105, TDD: (401) 462-8084

Click here to download free fillable PDF versions of Rhode Island workers’ compensation forms

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South Carolina

State of South Carolina—http://sc.gov/Pages/default.aspx Workers’ Compensation Commission—http://www.wcc.sc.gov/Pages/default.aspx Street
Address:
1612 Marion
Street Columbia, South Carolina 29201
Mailing Address:
Post Office Box 1715 Columbia, South Carolina 29202-1715
(803) 737-5700, Fax: (803) 737-5768
Click here to download free fillable PDF versions of South Carolina workers’ compensation forms

South Carolina State Accident Fund—http://www.saf.sc.gov/ Street
Address:
800 Dutch Square
Boulevard Columbia, South Carolina 29221 Mailing Address:
Post Office Box 102100
Columbia, South Carolina 29221-5000
(800) 521-6576, (803) 896-5800

South Carolina Second Injury Fund
22 Koger Center
Winthrop Building, Suite 119220
Executive Center Drive
Columbia, South Carolina 29210
(803) 798-2722, Fax: (803) 798-5290

South Carolina Workers’ Compensation Uninsured Employers’ Fund
22 Koger Center
Winthrop Building, Suite 119220
Executive Center Drive
Columbia, South Carolina 29210
(803) 798-2722, Fax: (803) 798-5290

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South Dakota

State of South Dakota—http://sd.gov/

Department of Labor—http://dlr.sd.gov/

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Tennessee

State of Tennessee—http://www.state.tn.us/

Department of Labor and Workforce Development—http://www.state.tn.us/labor-wfd/

Workers’ Compensation Division—http://www.state.tn.us/labor-wfd/wcomp.html

710 James Robertson Parkway
Gateway Plaza, Second Floor
Nashville, Tennessee 37243-0665
(800) 332-2667 (within Tennessee), (615) 532-4812, Fax: (615) 532-1468
Click here to download free fillable PDF versions of Tennessee workers’ compensation forms

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Texas

State of Texas—http://www.state.tx.us/

Texas Workers’ Compensation Commission (TWCC)—https://www.tdi.state.tx.us/wc/
7551 Metro Center Drive, Suite 100 Austin, Texas 78744-1609
(512) 804-4000, Commissioners: (512) 804-4435 fax: (512)
804-4431,
Customer Relations/Services: (512) 804-4100 or 804-4636, Fax: (512)
804-4001, Fraud Hotline: (512) 804-4703, Injured Worker
Hotline/Ombudsman: (800) 252-7031, Safety Violations Hotline: (800)
452-9595

Click here to download free fillable PDF versions of Texas workers’ compensation forms

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Utah

State of Utah—http://www.utah.gov/index.html

Industrial Commission of Utah—http://www.laborcommission.utah.gov/

Industrial Accidents Division—http://www.laborcommission.utah.gov/divisions/IndustrialAccidents/

Post Office Box 146610
Salt Lake City, Utah 84114-6610
(801) 530-6800, Fax: (801) 530-6804

Workers’ Compensation Fund of Utah—http://www.wcf-utah.com/
Salt Lake City Office
392 East 6400 South
Murray, Utah 84107
(800) 446-2667

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Vermont

State of Vermont—http://www.state.vt.us/

Department of Labor & Industry—http://www.state.vt.us/labind/

National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2288, Fax: (802) 828-2195

Workers’ Compensation Division—http://www.state.vt.us/labind/wcindex.htm
National Life Building
Drawer 20
Montpelier, Vermont 05620-3401
(802) 828-2286, Fax: (802) 828-2195
Click here to download free fillable PDF versions of Vermont workers’ compensation forms

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Virginia

State of Virginia—http://www.state.va.us/

Virginia Workers’ Compensation Commission—http://www.vwc.state.va.us

1000 DMV Drive
Richmond, Virginia 23220
(804) 367-8600, Fax: (804) 367-9740, TDD: (804) 367-8600
Click here to download free fillable PDF versions of Virginia workers’ compensation forms

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Washington

State of Washington—http://access.wa.gov/

Department of Labor and Industries—http://www.lni.wa.gov/

Labor and Industries Building
Post Office Box 44001
Olympia, Washington 98504-4001
(800) 547-8367, (360) 902-4213, Fax: (360) 902-4202

Board of Industrial Insurance Appeals—http://www.biia.wa.gov/

Street Address:
2430 Chandler Court, SW
Olympia, Washington 98504-2401
Mailing Address: Post Office
Box 42401 Olympia, Washington 98504-2401
(800) 442-0447, (360) 753-9646, Fax: (360) 586-5611
Click here to download free fillable PDF versions of Washington workers’compensation forms

Workers’
Compensation Information
—http://www.lni.wa.gov/ClaimsInsurance/ClaimsAppeals/GetClaimInfo/default.asp

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West Virginia

West Virginia—http://www.wv.gov/

Workers’ Compensation Commission—http://www.wvwcc.org/
Mailing Address:
Post Office Box 3824
Charleston, West Virginia 25338-3824
Street Address:
4700
MacCorkle Avenue, SE Charleston, West Virginia 25304 (800) 628-4265,
(304)
926-5060, Fax: (304) 926-5372, Fraud: (800) 779-6853 or lprater@wvbep.orgWorkers’
Compensation Commission Board of Managers
Workers’
Compensation Office of Judges
—http://www.wvwcc.org/ooj/ Mailing Address:
Post Office Box 2233
Charleston West Virginia 25328-2233
Street
Address:
One
Players Club Drive
Charleston West Virginia 25311 (304) 558-1686, Fax:
(304) 558-1021 Workers’ Compensation Board of Review—http://www.wvinsurance.gov/bor/BoardofReview/AbouttheBoard.aspx Mailing
Address:
Post Office Box 2628 Charleston,
West Virginia 25329-2628
Street Address:
104 Dee Drive
Charleston, West Virginia 25301 (304) 558-5230, Fax: (304) 558-1322

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Wisconsin

State of Wisconsin—http://www.wisconsin.gov/state/home Department of Workforce Development—http://www.dwd.state.wi.us/ Workers’ Compensation
Division
—http://www.dwd.state.wi.us/wc/default.htm Mailing
Address:

Post Office Box
7901 Madison, Wisconsin 53707-7901

Street Address:

Room C100
201 East Washington Avenue
Madison, Wisconsin 53703
(608) 266-1340; Fax: (608) 267-0394; Fraud (608) 261-8486
Click here to download free fillable PDF versions of Wisconsin workers’ compensation forms

Workers’ Compensation Advisory
Council
—http://dwd.wisconsin.gov/wc/councils/wcac/
(608) 266-6841

Wisconsin
Compensation Rating Bureau
—http://www.wcrb.org/
Mailing Address:

Post Office Box 3080
Milwaukee, WI 53201-3080

Street Address:

20700 Swenson Drive, Suite 100
Waukesha, Wisconsin 53186
(262) 796-4540, Fax: (262) 796-4400

Wisconsin Labor and Industry Review
Commission

Mailing Address:

Post Office Box 8126
Madison, Wisconsin 53708-8126

Street Address:

Wisconsin Public Broadcasting Building
3319 West Beltline Highway
Madison, Wisconsin
(608) 266-9850 Fax: (608) 267-4409
E-mail: dwdlirc@dwd.state.wi.us

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Wyoming

State of Wyoming—http://www.state.wy.us/ Department of Employment—http://wydoe.state.wy.us/

Cheyenne Business Center
1510 East Pershing Boulevard Cheyenne, Wyoming 82002
(307) 777-7672, Fax: (307) 777-5805 Cindy
Pomeroy, Director, (307) 777-5960, CPOMER@state.wy.us

Charles Rando, Administrator, (307) 777-6370,
CRANDO@state.wy.us
Workers’ Safety and Compensation Division Cheyenne
Business Center
1510 East Pershing Boulevard Cheyenne, Wyoming 82002 (307)
777-7159, Fax: (307) 777-5524.
To Report an Injury: (800) 870-8883 or (307)
777-7441, Fax: (307) 777-6552.
To Report Fraud: (888) 996-9226
or (307) 777-6552, Fax: (307) 777-3581.

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Other U.S. Areas

American Samoa

American Samoa—http://members.aol.com/pologa/welcome.html

Workmen’s Compensation Commission
Office of the Governor
Pago Pago, American Samoa 96799

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Guam

Guam—http://www.guam.gov/
Department of Labor
Workers’ Compensation Commission
Government of Guam
Post Office Box 9970
Tamuning, Guam 96931-9970
(671) 647-4205, Fax: (671) 649-4922

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Navajo Nation

Navajo Nation—http://www.navajo.org/

Workers’ Compensation Program
Post Office Box 2489
Window Rock, Arizona 86515
(928) 871-6389, Fax: (928) 871-6087

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Northern Mariana Islands

Northern Mariana Islands

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Puerto Rico

Puerto Rico—http://www2.pr.gov/Pages/default.aspx

Industrial Commissioner’s Office
G.P.O. Box 364466
San Juan, Puerto Rico 00936
(787) 783-3808, Fax: (787) 783-5610

State Insurance Fund
G.P.O. Box 5028
San Jaun, Puerto Rico 00936

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Virgin Islands

Virgin Islands—http://www.gov.vi/
Department of Labor—http://www.vidol.gov/

21-31 Hospital Street
Christiansted
St. Croix, U.S. Virgin Islands 00802
(340) 776-3700 or (340) 773-1994, Fax: (340) 774-5908, (340)
773-0094, or (340) 776-0529
Workers’ Compensation Division
3012 Vitraco Mall, Golden Rock
Christiansted
St. Croix, Virgin Islands 00820-4666
(809) 692-9390, Fax: (809) 773-4338

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N.C. Industrial Commission ·
4319 Mail Service Center · Raleigh, NC
27699-4319
Webmaster: (919) 807-2630
NCIC Home Page: http://www.comp.state.nc.us/