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Self-Insurance Electronic Data Reporting System (SIEDRS)
All self-insured employers are required to submit claim information at least once a month to L&I using SIEDRS. Third party administrators (TPAs) may submit data for the self-insurers they represent.
- The SIEDRS Enrollment Form (F207-193-000) must be completed by all self-insured employers and TPAs who submit data for them.
- The SIEDRS Enrollment Package (F207-194-000) explains how to prepare your computer system.
