Workers' Compensation Direct Deposit Authorization Forms

To obtain payment of workers’ compensation benefits via Electric Funds Transfer/Direct Deposit, an Authorization Form must be completed and submitted to Federated Insurance. Completed forms may be submitted via email to pcclaims@fedins.com or mailed to:

Federated Insurance
P&C Claims
PO Box 486
Owatonna MN 55060-0486

Please choose the appropriate form below.

New York Workers' Compensation Claims

For All Workers' Compensation Claims Other Than New York

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