In order to insure your claim is handled efficiently, promptly report all injuries right away. Please fax a copy of the original WC-1 Employer's Report of Industrial Injury to 808-522-5855 for timely assignment, then mail the original signed and dated report to our office for processing.

PLEASE REPORT ALL INJURIES WITHIN 24 HOURS:

Island of Oahu:	Neighbor Islands:
Telephone: (808) 524-3642 Fax: (808) 522-5855	Toll Free: (888) 292-3642 Toll Free Fax: (888) 686-5510
Mailing Address:	Street Address:
HEMIC P.O. BOX 3376 HONOLULU, HAWAII 96801	HEMIC 1003 Bishop Street Pauahi Tower, Suite 1000 HONOLULU, HAWAII 96813

Need a WC-1?
Fill out this WC-1 Form online and print it out. (With earlier versions of Acrobat you may have to print out first, then complete the form.) Fax or mail it to HEMIC. If you need help with the form, download these instructions for filling out and filing a WC-1.

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For more information on reporting accidents and filing claims, see our Claims page.