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HireSafe Worker’s Compensation Reporting Matrix
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|
State |
Price |
Working Time |
Type of Claim Reported |
|
Alaska |
$25.00 |
1-3 days |
1st reports of injury |
|
Arizona |
$25.00 |
7-14 days |
1st reports of injury |
|
Arkansas |
$41.00 |
1-3 days |
1st reports of injury |
|
California |
$25.00 |
1-3 days |
Appealed claims only (WCAB) |
| Colorado |
$25.00
Notarized Release required |
1-3 days |
3+ days of lost time, some medical claims
|
|
Connecticut |
$25.00
State Release required |
7-14 days |
1st reports of injury claim filed within last 7 years
|
|
District of Columbia |
$25.00
State Release required |
1-3 days |
1st reports of injury |
|
Delaware |
$25.00 |
7-14 days |
|
|
Florida |
$25.00 |
1-3 days |
Claims w/7 days lost time or a disability rating, some medical claims
|
|
Hawaii |
$28.00 |
3-7 days |
|
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Idaho |
$28.00
State Release required |
7-14 days |
|
|
Illinois |
$25.00
Special Release required |
1-3 days |
Pending & settled claims |
|
Iowa |
$29.00 |
1-3 days |
1st reports of injury |
|
Kansas |
$25.00 |
3-7 days |
1st reports of injury & closed claims |
|
Kentucky |
$25.00 |
2-5 days |
1st reports of injury, body parts, settlements
|
|
Louisiana |
$25.00 |
1-3 days |
Adjudicated claims |
|
Maryland |
$25.00 |
1-3 days |
Lost time claims only |
|
Massachusetts
|
$31.00 |
1-3 days |
1st reports of injury |
|
Minnesota |
$25.00
Special Release required |
7-14 days |
1st reports of injury |
|
Mississippi |
$25.00 |
1-3 days |
1st reports of injury, date returned to work |
|
Missouri |
$29.00
Notarized Release required |
1-3 days |
1st reports of injury |
|
Nebraska |
$42.00 |
7-14 days |
1st reports of injury |
|
New Hampshire |
$28.00 |
7-14 days |
|
|
New Jersey |
$25.00
Special Release required |
3-7 days |
|
|
North Dakota |
$25.00 |
1-3 days |
1st reports of injury |
|
Ohio |
$25.00 |
1-3 days |
7+ days of lost time, amount paid
|
|
Oklahoma |
$25.00
State Release required |
14-21 days |
1st reports of injury |
|
Pennsylvania |
$25.00
State Release required |
14-21 days |
1st reports of injury |
|
South Carolina |
$48.00 |
5-10 days |
1st reports of injury |
|
South Dakota |
$25.00 |
14-24 days |
1st reports of injury |
|
Tennessee |
$48.00 |
7-14 days |
1st reports of injury |
|
Utah |
$29.00
Special Release required |
7-14 days |
|
|
Vermont |
$25.00 |
1-3 days |
1st reports of injury |
|
Virginia |
$48.00
Notarized Release required |
1-3 days |
1st reports of injury |
|
Wyoming |
$25.00 |
1-3 days |
Lost time claims only |
The above-listed states are jurisdictions in which, through their
respective Worker’s Compensation state repositories, have made claim filing information available to review for
employment purposes. These records may not be accurate or current due to human error, data entry, and/or untimely,
or non-reporting, from various states, counties, courts, jurisdictions, or government agencies. HireSafe assumes
no responsibility and makes no guarantees as to the accuracy or completeness of any information received through
state Worker’s Compensation repositories.
Orders for Worker’s Compensation reports alone (not as a component of a pre-employment background report) have a $250.00 retainer fee at the time of account activation. Prices subject to change.