800-944-0859 or 409-384-5444

FORMS

The TDI requires all reports to be submitted on their most current forms. Please check back regularly to verify that you are using the most current forms available. These forms require Microsoft Word and can be printed and mailed or e-mailed.

E-mail all forms to claims@detsif.com.

mwoods@detsif.com

karen.mcclellan@tristargroup.net

jason.cutler@tristargroup.net

Please email claims to all 4 email addresses.

Note Tristar will assign a claim number and adjuster.

If this is after hours and you need a prescription filled please use this card.

Claim Forms

*You can still access the downloadable Word Doc files by clicking the link on form name.

Annual – Payroll Request Form

***Click on the Link that applies to You!***

Districts

DETSIF requires this at least Annually, however Quarterly would be preferred.
***Please include all Payroll: Fulltime, Part time, Overtime and Substitutes!

Click here to view our safety programs and supplies flyers!