• Minnesota workers’ compensation system employee information sheet
• First Report of Injury Form

To the injured employee:

If you seek medical treatment for your injury, please give the following information to the hospital, clinic, or health care provider:

Travelers
Travelers Indemnity Company of America
Claim Department, Worker’s Compensation Unit
P.O. Box 64907
St.Paul, MN 55164-0907

Policy #:  TC2JUB 230T5559
Field Office name:      095 – Minneapolis, MN
Field Office phone number:   1-800-842-3073
Field Office fax number:        1-877-389-4682