Report An Injury

To ensure each claim is handled efficiently, HEMIC requires all injuries to be reported within 24 hours.

To report an injury:

  • LOGIN to your Ka Piko portal account and click the “Report Injury/WC-1″ button. This is the fastest and most secure way to transmit a claim.
  • EMAIL WC-1 form to
  • FAX a WC-1 form to (808) 522-5855, then mail the original signed and dated report to P.O. Box 3376, Honolulu, HI 96801
  • MAIL a WC-1 form to P.O. Box 3376, Honolulu, HI 96801

For Collectively Bargained Workers’ Compensation Program members:

  • Fill out this WC-1 Form online and print it out
  • Fax it to HEMIC at (808) 522-5855 or mail it to P.O. Box 3376, Honolulu HI 96801
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