File a Claim

WORK COMP CLAIMS

To file a work comp claim, please call First Nurse at 844-229-8555.  Or you may file through Brentwood’s online claims reporting by clicking here.

 

ALL OTHER CLAIMS

For all other claims, please download and complete the Notice of Occurrence and email to “newclaim@mirma.org”.

  • Notice of Occurrence  (includes a “Submit” button in order to email the form directly to “newclaim@mirma.org” with your desktop email.  If the Submit button does not work, please save the document, and then email to “newclaim@mirma.org”.)
  • Supervisor’s Investigation Report