Injured on the job?

Submit a
Workers' Compensation Claim

"CIRMA's NetClaim Reporting System is a non-stressful, easy process."

Enter your LOGIN ID and PASSWORD to submit  Workers' Comp claims online. View our new training video to learn the features of the system. Download our User Guide & Quick Tips to make best use of the portal's features.
System & Browser Requirements:

• Windows XP, Windows 7.

• Microsoft Internet Explorer v11 (with continued support of v10).

• Pop-ups and Cookies must be allowed to access the NetClaim Portal. (Click on Tools, Internet Options, Privacy Menu on the IE toolbar to change settings.

Please Note: All claims must be submitted by an authorized claims contact. To request a Login ID and Password, please contact Sean Gaffney, at sgaffney@ccm-ct.org, and include your name, email address, work phone number and your organization.
First download then submit the Online Reporting Sign-Up form.

Before you start to report a claim, CIRMA recommends that you download, then use the Claims Reporting Worksheet (PDF) to gather the information about the claim. Retain the completed worksheet for your records after you report the claim.

To report a claim under our Volunteer Firefighter Accident Insurance Program, click here to first download, then complete the VFA claim form.

To download instructions to Turn on Compatibility Mode click here.

To download instructions to Disable Pop-up Blocker click here.

For a list of Frequency Asked Questions click here.

Vist our CIRMAcare page for information about our CIRMAcare Medical Care Plan.

Submit a
Liability, Auto, Property or Crime Claim    

Serious Liability-Auto-Property claims, such as those involving a fatality, major injury, or first-party property loss, should be reported immediately to CIRMA. Call--

800-526-1647 -- During business hours, or

203-804-5917 -- After-Hours Emergency Number for Members Only--

Reports of other, non-emergency claims, should be sent via email to: lapnewclaims@ccm-ct.org.

Please first Download, then complete and attach the appropriate form:
Liability-Auto-Property Loss Notice Form fillable PDF
Auto-Only Loss Notice fillable PDF
Property-Only Loss fillable PDF

The form must be completed by an authorized member, signed, and dated.

All Pollution and Cyber Liability incidents should be reported immediately to Cynthia Mancini, LAP Claims Unit Manager at:

To Report an Emergency After-Hours Property Loss:

Cynthia Mancini
Liability-Auto-Property Claims Unit Manager
Business: 203-498-3019         
Cell: 203-804-5917 (After-Hours Emergency Claims Contact--Members-Only)