The First Report of Injury (FROI) form is the reporting document for all work-related injury claims. It provides basic information necessary to start the claim.Insurance claims can be submitted through a medical claims management system or a direct data entry system. A settling party seeking contribution should extinguish the claims of the party it seeks contribution from in the release it secures. Forms for submitting auto, liability, property, and workers' compensation claims to the League of Minnesota Cities Insurance Trust (LMCIT). I agree that this Waiver, Release and Indemnification Agreement is to be construed under the laws of the State of. Hospital Indemnity: If filing a hospital indemnity claim, please complete the. Hospital Indemnity section of the form and provide an itemized hospital bill. The Minnesota Supreme Court held in a split 52 decision in Justice v. Indemnity Actions for Improvement to Real Property: Actions may not be brought more than two years from the accrual of the cause of action.