Welcome to the Claim Reporting Portal for
Old Republic Aerospace, Inc.

On this site you are able to enter a new workers' compensation claim.

If you have questions about a claim that has already been submitted, contact your adjuster directly.
To submit a new claim, follow these steps:
  • Print this page (optional).
  • Enter FIRST SIX NUMERIC DIGITS of your policy number.
  • Correctly complete the Captcha.
  • Click below on Proceed to claim entry
  • On the next page, enter the date of injury.
  • Click NEXT
  • Answer the questions on each screen. Click NEXT to move from screen to screen.
  • Required questions are marked with an asterisk and must be answered before moving to the next screen.
  • On the confirmation page, click the link in the middle of the page to print a copy of the first report. The first report of injury will display. Print/Save a copy and note the loss number in the upper right corner of the form.
Policy Number:


Captcha





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