HOME AGENTS EMPLOYERS INJURED WORKERS CLAIMS RESOURCES RISK CONTROL ABOUT US Claims Our home office staff is focused on the rules and regulations that govern claims to affect the most beneficial outcome for both the injured worker and the employer. Our primary emphasis is helping injured workers recover from their injuries so they can return to their previous employment when it is medically safe. Utilization of a Return-To-Work (RTW) Program is emphasized across all disciplines in the company: marketing, claims, loss control and underwriting. From the first contact, our team is discussing the employee’s injury, treatment and working closely with the employer to create a light duty program to support a safe return to work. Service Lloyds is partnered with the Caramor Health Care Network (find a provider). The employer and employees base network eligibility on the accessibility of the certified network coverage area. REPORT A CLAIM QUICK LINKS Request a Claim Detail Report DWC-1: Employer’s First Report of Injury or Illness Form DWC-3: Employer’s Wage Statement DWC-6: Supplemental Report of Injury Form DWC-7: Non-covered Employer’s Report of Occupational Injury or Illness DWC-41: Employee’s Claim for Compensation for a Work-Related Injury or Occupational Disease DWC-51: Employee’s Election for Commuted (Lump Sum) Impairment Income Benefits #Servicelloyds P.O. Box 26850 Austin, Texas 78755 Voice: (512) 637-3104 Toll Free (844) 740-7007 Claim Dept. Fax: (512) 231-8248 Mon – Fri: 8:00am – 4:45pm CST Sat, Sun Closed Claims Department Mon – Fri: 8:00am – 4:45pm CST Sat, Sun Closed © Copyright 2020 Service Lloyds | Terms & Conditions | Privacy Policy

HOME AGENTS EMPLOYERS INJURED WORKERS CLAIMS RESOURCES RISK CONTROL ABOUT US Request A Loss Run Our policyholders and their agents of record have a right to request their loss run reports. The Loss Run Team will validate the information given and provide a loss run report within 48 hours of receiving this form. Please note that the Loss Run Team can provide up to 5 years claims history (loss runs) to: The policyholder directly, based on policies carried with Service Lloyds Insurance Company The agency of record directly, based on policies represented by the agency Please select from the following: Agency Request for Loss RunsPolicyholder Request for Loss Runs First Name Last Name Title Agency/Branch Email Address Verify Email Address Phone Number Workers Compensation Policy Number(s)* Named Insured (Policyholder Name) Are you representing the Agency of Record for this policyholder? Yes No #Servicelloyds P.O. Box 26850 Austin, Texas 78755 Voice: (512) 637-3104 Toll Free (844) 740-7007 Claim Dept. Fax: (512) 231-8248 Mon – Fri: 8:00am – 4:45pm CST Sat, Sun Closed Claims Department Mon – Fri: 8:00am – 4:45pm CST Sat, Sun Closed © Copyright 2020 Service Lloyds | Terms & Conditions | Privacy Policy