Workers' Compensation
Workers’ Compensation
INJURIES MUST BE REPORTED WITHIN 24 HOURS OF OCCURRING
How to file a claim:
- Notify your supervisor of your work-related injury immediately.
- Call the Company Nurse Hotline @ 1-888-770-0929 to report your injury.
- Submit an Employee Report of Injury and DWC-1 on the day of your injury.
-
Employee Report of Injury and DWC-1
If you are an injured employee, please click here to complete this packet on the day of your injury.
-
Supervisor's Report of Injury
If you are the supervisor of an injured employee, please click here to complete this packet on the day of your employee's injury.
Claim Information
Your Sedgwick adjuster is your primary contact for information regarding your claim.
For questions regarding modified work, leave of absences, and pay, you can reach out to the departments below:
| Benefits/Risk Management | 559-327-9125 |
|---|---|
| Human Resources | 559-327-9300 |
| Payroll | 559-327-9074 |
Your claim will be sent to Sedgwick, our workers’ compensation carrier, who will assign you an adjuster. Your adjuster will then:
- Contact you by mail to advise if your claim is accepted, denied, or delayed for investigation
- Provide you with their name and contact information so they can answer any questions you have about yoru claim and/or treatment
- Pay for your authorized medical treatment from one of the District’s contracted Occupational Health Centers or pre-designated physician
After each medical visit, your primary treating physician will give you a Work Status Report advising if you have any work restrictions. You are responsible for providing your Work Status Report to your supervisor following every medical appointment.
Your supervisor or department head will use your Work Status Report to determine if any provided restrictions can be reasonable accommodated. They will contact you directly to advise you of their decision.
If you are unable to be accommodated, the Risk Management Office will reach out to you to advise of your next steps and provide information regarding leaves of absence.
Prescriptions
If your doctor prescribes you a medication for your work injury/illness, you must take the Mitchell Script Advisor Temporary Prescription Benefit Card with you to the pharmacy when you pick up your medication. Doing so ensures that the cost of your medication will be paid for by Sedgwick, and you will have no out-of-pocket expense.
Click Here to Access Your Mitchell ScriptAdvisor Temporary Card
Changing Your Primary Treating Physician (PTP)
If you want to change your Primary Treating Physician, the WellComp Written Notification allows you to do so by contacting your adjuster at Sedgwick to request the change.
-
Your Sedgwick adjuster is your primary contact for information regarding your claim.
For questions regarding modified work, leave of absences, and pay, you can reach out to the departments below:
Benefits/Risk Management 559-327-9125 Human Resources 559-327-9300 Payroll 559-327-9074 -
Your claim will be sent to Sedgwick, our workers’ compensation carrier, who will assign you an adjuster. Your adjuster will then:
- Contact you by mail to advise if your claim is accepted, denied, or delayed for investigation
- Provide you with their name and contact information so they can answer any questions you have about yoru claim and/or treatment
- Pay for your authorized medical treatment from one of the District’s contracted Occupational Health Centers or pre-designated physician
-
After each medical visit, your primary treating physician will give you a Work Status Report advising if you have any work restrictions. You are responsible for providing your Work Status Report to your supervisor following every medical appointment.
Your supervisor or department head will use your Work Status Report to determine if any provided restrictions can be reasonable accommodated. They will contact you directly to advise you of their decision.
If you are unable to be accommodated, the Risk Management Office will reach out to you to advise of your next steps and provide information regarding leaves of absence.
-
Prescriptions
If your doctor prescribes you a medication for your work injury/illness, you must take the Mitchell Script Advisor Temporary Prescription Benefit Card with you to the pharmacy when you pick up your medication. Doing so ensures that the cost of your medication will be paid for by Sedgwick, and you will have no out-of-pocket expense.
Click Here to Access Your Mitchell ScriptAdvisor Temporary Card
Changing Your Primary Treating Physician (PTP)
If you want to change your Primary Treating Physician, the WellComp Written Notification allows you to do so by contacting your adjuster at Sedgwick to request the change.
Employee Resources
-
.pdf2024-11-28Company Nurse Injury Hotline
-
.pdf2024-11-28DWC 7 Notice to Employees Poster
-
.pdf2026-07-13mySedgwick Self-Service Sign Up Flyer
-
.pdf2026-07-13mySedgwick Self-Service User Guide
-
.pdf2026-09-03Sedgwick Facts about Workers' Compensation
-
.pdf2024-11-28Mitchell ScriptAdvisor - Temporary Prescription Benefit Card
-
.pdf2024-11-28WellComp Written Notification/Medical Provider Network
-
.pdf2024-11-28On the Job Injury Lost Time Report
