111F/ Injured on Duty

FutureComp is our  NEW Third Party Administrator for Injured on Duty claims effective July 1, 2019.

• 111F Reporting Procedures
• FutureComp Info for Employees & Providers
• 111F Required Forms 
  1. Employee Incident Report
  2. Medical Authorization
  3. Supervisor’s Report
  4. First Fill Form
  5. Fit for Duty Certification