Report A Claim

• Login to WBConnect secure website here.
- Complete the First Report of Injury form to submit claim.

If you do not have login credentials to access WBConnect to complete the First Report of Injury form for online submittal, please use one of these other methods to file a claim:

• Email a completed First Report of Injury form (access via Claims Kits below) to Argent: WCCLossScanCtr@wbmi.com;

• Fax a completed First Report of Injury form (access via Claims Kits below) to (888) 926-9299; or

• Call (877) 922-5246 to report your claim

Find an Argent PPO

To find an Argent PPO in your area, access PPO LOOKUP.

Claims Kits by State

Arizona Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Workers' Compensation Exposure to Bodily Fluids Posting Notice
- Workers' Compensation Exposure to Methicillin Resistant Staphylococcus Aureus (MRSA) Posting Notice
- Attending Physician's Return to Work Recommendations
Arkansas Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Release Information
- Attending Physician's Return to Work Recommendations
California Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Release Information
- Attending Physician's Return to Work Recommendations
Colorado Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Release Information
- Attending Physician's Return to Work Recommendations
Florida Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Release Information
- Attending Physician's Return to Work Recommendations
Illinois Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Workers' Compensation Posting Notice
- Workers' Compensation Posting Notice (Spanish)
Indiana Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization To Release Information Regarding Claimants Seeking Workers' Compensation Benefits
- Attending Physician's Return to Work Recommendations Record
Iowa Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization To Release Information Regarding Claimants Seeking Workers' Compensation Benefits
- Attending Physician's Return to Work Recommendations Record
Kansas Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Attending Physician's Return to Work Recommendations Record
Kentucky Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Workers' Compensation - First Report of Injury or Illness
- Argent Workers' Compensation Prescription Information
- Attending Physician's Return to Work Recommendations Record
Michigan Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Employer's Basic Report of Injury – OCR100
- Argent Workers' Compensation Prescription Information
- Medical Authorization - Michigan
- Post Notice: Employee - Know Your Rights!
Minnesota Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- First Report of Injury
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Attending Physician's Return to Work Recommendations Record
Missouri Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- First Report of Injury
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Attending Physician's Return to Work Recommendations Record
Nebraska Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- First Report of Alleged Occupational Injury or Illness
- Employee's Choice or Change of Doctor Form
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Attending Physician's Return to Work Recommendations Record
North Carolina Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Employee Accident Report
- Employer Report of Injury
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Attending Physician's Return to Work Recommendations Record
Oklahoma Workers' Compensation Claim Kit
South Carolina Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- First Report of Alleged Occupational Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Attending Physician's Return to Work Recommendations Record
South Dakota Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- First Report of Alleged Occupational Injury or Illness
- Argent Workers' Compensation Prescription Information
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Attending Physician's Return to Work Recommendations Record
Tennessee Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- First Report of Work Injury or Illness
- Wage Statement (Form C-41)
- Argent Workers' Compensation Prescription Information
- Attending Physician's Return to Work Recommendations Record
- Authorization to Disclose Non-Public Personal Health Information and Waiver of Privilege
- Employee Choice of Physician
- Notice of Employer Rights and Responsibilities
- Posting Notice
Texas Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Employer's First Report of Injury or Disease
- Argent Workers' Compensation Prescription Information
- Voluntary and Informed Consent for Disclosure of Health Care Information
- Attending Physician's Return to Work Recommendations Record
Virginia Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Employer's First Report of Injury or Disease
- Argent Workers' Compensation Prescription Information
- Voluntary and Informed Consent for Disclosure of Health Care Information
- Attending Physician's Return to Work Recommendations Record
West Virginia Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Employer's First Report of Injury or Disease
- Argent Workers' Compensation Prescription Information
- Voluntary and Informed Consent for Disclosure of Health Care Information
- Attending Physician's Return to Work Recommendations Record
Wisconsin Workers' Compensation Claim Kits
- Complete Worker's Compensation Claim Kit
- Employer's First Report of Injury or Disease
- Argent Workers' Compensation Prescription Information
- Voluntary and Informed Consent for Disclosure of Health Care Information
- Attending Physician's Return to Work Recommendations Record