To complete a FROI, you will need several pieces of required information.

First, you must have information about the Employer

• Montana State Fund Policy Number

Next, you will need to provide information about the Injured Employee:

• Name
• Social Security Number
• Birth Date
• Gender
• Mailing Address
• Contact Phone
• Hire Date
• Employee Classification Code
• Job Title
• Employment Status
• Worker Type
• Non-employee Detail Type

Finally, you will need to provide information about the Accident or Injury:

• Date of the accident or injury
• Description of the accident or injury
• Injured part of body
• Location where accident or injury occurred
• Date employer notified and to whom it was reported
• Type of facility where the injured employee received treatment, if any
• Whether the injured employee worked the next scheduled shift and if not, the last date worked
• Whether the injured employee was off work or expects to be off work more than four (4) days

Montana State Fund’s systems will be down from approximately 10:00pm to 11:00pm Monday-Friday and as needed for emergency maintenance. During those down times, FROIs may not be entered online.

If you did not already login from the Home page, you may login from here by clicking the arrow in the top right corner of the page and entering your User ID and Password.

By being logged in, you have the ability to partially save your data at any time and come back to it within five (5) working days of starting the report. If a complete report is not submitted within five working days, it will be deleted from the system. Partial save does not constitute filing a claim. You will also have the option to print or save a copy of the FROI.

When you return to submit your form, log in and go to the First Report section of your account, view and select your report from the Incomplete FROI list, complete the form and click submit. After successfully submitting the FROI, the system will display your MSF claim number which you should reference when communicating with Montana State Fund.