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Form analysis
2 forms found in the DOM

POST /api/sitecore/Search/HeaderSearch

<form action="/api/sitecore/Search/HeaderSearch" class="c-search-form js-search" method="post" role="search"> <label class="u-visually-hidden" for="HeaderQuery">Search</label>
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  <input class="c-search-form__submit" type="submit" value="Search">
</form>

POST /api/sitecore/MemicForm/MemicNews

<form action="/api/sitecore/MemicForm/MemicNews" class="c-email-subscribe-form c-form-row newsletter-sign-up-element" id="newsletter-sign-up-form" method="post"> <label class="u-visually-hidden" for="EmailAddress">Email Signup</label>
  <input class="c-email-subscribe-form__input" name="EmailAddress" placeholder="Enter your e-mail" type="email" required="">
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  <button class="c-email-subscribe-form__input c-button c-button--tertiary" id="newsletter-sign-up-button" type="submit">Submit</button>
</form>

Text Content

Back Close Menu
 * Employers
    * COVID-19 Policyholder Resources
    * Find a Medical Provider
    * Report an Injury
      * First Report of Injury (FROI) Portal
    * Manage Claims
      * Claim Services
      * Ask About a Claim
    * Return to Work
   
    * 24/7 Injury Triage and Telehealth
      * Information Form
    * Manage Your Policy
      * Pay Your Bill
      * Audit
      * Request Access to Policy Portal
    * Report Fraud
      * Fraud Prevention
      * Report Fraud Online
   
    * FAQ for Employers
      * State Workers' Comp Requirements
      * Glossary
    * MEMIC EPLI
      * What & Why
      * Coverage
      * Claims
      * Cost
   
   Report an Injury Online
 * Workers
    * What to Do If Injured
    * Understanding Claims
      * Doctor Visits
      * Accepted or Disputed
      * Ask About Your Claim
    * Your Benefits
      * Medical
      * Wage Replacement
   
    * Return to Work
    * Helping Fight Fraud
      * Report Fraud Online
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      * Recipients
   
   Ask About Your Claim
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    * Agency Support
   
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 * Workplace Safety
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      * Preventing Cross-Contamination
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MEMIC PUTS SAFETY TO WORK

Our commitment to workplace safety and service is unmatched among workers'
compensation insurers.

Workplace Safety



FOR EMPLOYERS TOGGLE

 * Report an Injury
 * COVID-19 Policyholder Resources
 * Pandemic Recovery Safety Planning


FOR WORKERS TOGGLE

 * What to Do If Injured
 * Understanding Claims
 * Your Benefits


FOR AGENTS TOGGLE

 * Agency Support
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 * Choosing MEMIC

> “The Loss Control Department is the best I've seen. I know my customer will
> get the resources and support from MEMIC. I sleep at night knowing that the
> customer is going to be happy [with MEMIC].”

Eileen Clinton, Brown and Brown Empire State, MEMIC Agent


NEWS & UPDATES


NEWSROOM

MEMIC Issues Slip and Fall Advisory Amid Winter Weather Extremes


SAFETY BLOG

Drive to Stay Alive


CAREERS



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