1-888-280-5225 Home Underwriting Services Insurance Claims Loss Prevention Agent Resource Center Policyholders Careers Forms Contact Pay Online We've improved our First Report Of Injury online form! Instantly receive your claim number after submitting the form. Use any browser - Internet Explorer, Chrome, Safari, Edge, Firefox or your mobile device. Report an Injury * yellow fields are required Step 1 of 7 14% Date of Injury (mm/dd/yyyy)* MM slash DD slash YYYY Your Email* Recipient #1 Recipient #2 Recipient #3 Recipient #4 Recipient #5 Home Pay Online Agent Resource Center Careers Report an Injury Contact Lackawanna Insurance Group 46 Public Square Suite 501 Wilkes-Barre, PA 18701 Contact Local: 570.824.1400 Toll Free: 888.280.5225 Fax: 570.824.1913 © Lackawanna Insurance Group | Web Design & Hosting by Acadia Systems Web Design & Hosting | Protected by AcadiaBackup