The work accident and occupational accident products offered by Protective are private policies that cover independent contractors as well as their subcontractors who are injured in the course of their self-employed work activities. These products are not workers' compensation policies and are not governed by workers' compensation statutes.

Submit completed forms to Protective Insurance Company:

Email: claimreporting@protectiveinsurance.com
Fax: (317) 715-9639
Mail: P.O. Box 7099, Indianapolis, IN 46207-7099

Protective cannot accept digital signatures. To submit forms via email, print the form and sign it physically, then scan the signed form.