Step 1: Information Prompt
After reading the rest of these instructions, you can
jump from this informational page to the form by clicking on the link in the
upper right corner. If you wish, you may then create a bookmark or favorite in
your browser to the actual form and skip this page in the future.
Step 2: Filling in the form
Input the information that you would like to submit into the
fields. You can move between fields with the Tab key or your cursor. When you have
completed filling out the form, click the button at the very end, marked
"Submit."
The form will instantly be processed on your computer and checked for improper formatting
of dates, social security numbers, and mandatory fields. If there are any errors found in
the form, the submission process is halted and a warning box will appear prompting you to
correct certain fields. Go to the fields indicated by their number and correct the entry.
Then click the "Submit" button again. Repeat this process until all questionable
entries are corrected.
Step 3: Confirmation Page
If the information that is submitted passes the validation
process, the First Report is sent to MMA's Claims Department for processing. If your
report has been submitted without error, the page will change to a formatted layout
(without submission boxes) that can be printed. A window will also pop-up that says,
"Your First Report has been submitted."
Note: The current version of the First Report
confirmation page will print out on two pages under most circumstances. We are
sorry for the inconvenience this may cause.
REMEMBER:
- You must receive a successful submission message when finished to be sure the
First Report was sent to MMA.
- In cases involving 7 or more days lost time (1 or more days for Firefighters),
your MMA claims representative will contact you.
- If an employee loses time from work, subsequent to the submission of a first
report, contact the MMA Claims Department immediately.
- Direct employees to appropriate medical care. If possible, direct them to a MMA
preferred, occupational medicine provider. Contact your claims representative if you are
not familiar with a provider in your area.
- Employees should report back after their appointment with written work
restrictions.
- Be prepared to return injured workers to transitional or full duty as soon as
medically appropriate.
Your MMA claims representative is prepared to assist you. Please contact them if
you have questions.
