Great Lakes Region
Contact Us
Great Lakes Region
Servicing the states of Michigan, Ohio, Indiana, and Illinois
Toll Free: (800) 372-2428
Fax: (866) 712-1735
Program Submission Contact
Donna Cianciolo
AVP Regional Business Development
Office: (810) 844-8110
[email protected]
Claims Contact
Erin McBride
AVP Regional Claims Manager
Office: (810) 844-8119
[email protected]
Report A Claim
Report Online
Submit Michigan Workers’ Compensation Report
Report By Email
Report By Fax
Fax: (866) 712-1735
Email or fax your completed forms:
State of Michigan Pdf Form
State of Ohio Pdf Form
Submit a General Liability Report
Associations:
Michigan Public Risk Management Association-MIPRIMA
Detroit Risk and Insurance Management Society-Detroit RIMS
County Road Association of Michigan-CRA
Construction Association of Michigan-CAM
Michigan Self-Insurers Association-MSIA
Michigan Restaurant & Lodging Association-MRLA
Ohio Self- Insurers Association-OSIA
Northwestern Ohio Self-Insurers Association-NWOSIA
Michigan Association of Insurance Agents-MAIA
Michigan Council Self-Insured Group Administrators-MCSIGA
Community and Charitable Involvement:
Kids’ Chance of Michigan – www.kidschanceofmi.org
Organization dedicated to helping Michigan kids who need assistance for college or vocational education because a parent has been killed or catastrophically injured in a work-related accident.
RIMS Detroit Community Cleanup – www.detroitrims.org
Detroit RIMS organizes community cleanup initiatives in metro Detroit to provide a safer and cleaner community for all residents.
