Workers’ Compensation Loss
When submitting a report, please complete the entire Web Loss Report Form and provide all required information. Required fields are marked in bold.
- If the mandatory information is unknown at the time of your web submission, enter “unavailable” in any field requiring text.
- Enter all 999s in any fields that require a number value. The final report will depend on the accuracy and completeness of the information you are able to provide.
- No information will be transmitted until you click the “submit” button at the bottom of the form.
- The Accident Description field has a 200-character limitation. Additional information can be entered in the final remarks area of the submission. Additional Remarks also has a 200-character limitation.
If your loss is severe, Beacon Mutual recommends that you phone in your loss to insure that it receives the immediate attention it needs. Please call our toll-free number 888-886-4450.