Report a Claim

Toll-free claim reporting
Just call 1-877-NCACCRM (1-877-622-2276) and 1 call does it all. no MORE PAPERWORK! We will complete the first report of injury or loss notices for you. This service is available 24 hours a day, 7 days a week, at no cost to members of the Pools. A copy of the report is faxed back to your office for your records.

You may also download a paper copy and fax it in as well to the number on the bottom of the form.

Contract Numbers:

Workers Compensation - 0411
Liability and Property - 1278 (this includes Auto, Property, LEPO and General Liability claims)

Department Codes

001 - Entities Only (Counties will not use this code)
040 - Health Dept
042 - Social Services Dept and Volunteers
049 - Public Works or Water System
410 - Courthouse
415 - Building or Electrical Inspectors
420 - County Administration
440 - Finance Office
460 - Tax Appraisers and Supervisors
500 - Buildings and Grounds Crew
510 - Sheriff's Dept
520 - Jail
550 - Ambulance and Emergency Management
565 - Parks and Recreation
570 - Agricultural Extension Services
585 - Sanitary Landfill or Garbage Trucks
660 - Library
680 - Animal Control
700 - Transportation

Technical support: The Innovation First Notice support desk is staffed from 8 a.m. - 6 p.m. EST. If you need assistance in using the system, need your password reset or experience any difficulties using the online Internet claim reporting, please call toll-free (888) 290-0895.