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Workers' Compensation

Workers' Compensation

 

INJURIES MUST BE REPORTED WITHIN 24 HOURS OF OCCURRING

 

  1. Notify your supervisor of your work-related injury immediately.
  2. Call the Company Nurse Hotline @ 1-888-770-0929 to report your injury.
  3. Submit a DWC1-1 claim form the day of the injury.
    • Your claim will be sent to our workers’ compensation carrier, Sedgwick. Sedgwick will then:
      • contact you directly by mail to advise if your claim is accepted, denied, or delayed for investigation
      • provide you with the name and contact information for the adjuster assigned to your claim. Your adjuster can answer any questions you have about your claim & treatment.
      • pay for your authorized medical treatment from one of the District’s contracted Occupational Health Clinics or pre-designated physician
    • After each visit with your treating physician, you will be given a status slip from your doctor’s office advising if you are unable to return to work, able to return to work, or able to return to work with modified work restrictions.
      • Immediately following each appointment, you are responsible for providing your immediate supervisor with a copy of your status slip.
    • If your doctor prescribes you medication for your work related injury/illness, you must take the Mitchell ScriptAdvisor - Temporary Prescription Benefit Card with you to the pharmacy when you pick up your medication. Doing so ensures the cost of your medication will be paid for by Sedgwick, and you will have no out-of-pocket expense.  
    • Located under Employee Tools & Resources, the WellComp Written Notification regarding our Workers’ Compensation Medical Provider Network that allows you to change your Primary Treating Physician by contacting your adjuster at Sedgwick to request the change.
  • It is important you contact your Sedgwick adjuster directly at 909-942-4902 regarding your claim.

    However, there are certain areas where our CUSD Human Resources, Benefits, and Payroll Departments can assist you with questions regarding modified work, leaves of absence, and pay. You may reach these departments at the following numbers:

    Benefits 559-327-9125
    Human Resources 559-327-9100
    Payroll 559-327-9074

     

Workers' Compensation Forms

Board Policies Regarding Workers' Compensation