Department of Labor and Industry

FROI Reporting

First Report of Injury (FROI Reporting)

EDI Testing Requirements

FROI Edit Matrix

FROI Element Requirement Tables

Acknowledgement - Release 1

Header and Trailer - Release 1

First Report of Injury - Release 1

FROI Report Codes

First Report of Injury Code Values

Cause of Injury Codes

Nature of Injury Codes

Part of Body Codes

Montana Report Submission Table

Contact Information

Workers' Compensation Claims Assistance Bureau
Montana Department of Labor and Industry
1805 Prospect Avenue
P.O. Box 8011
Helena, MT 59624-8011
Dave Elenbaas
daelenbaas@mt.gov