Workers' Compensation Procedures
All staff members are covered by workers' compensation insurance for work related injury or illness.
Workers' Compensation Procedures
For motor vehicle accidents occurring while an employee is in the scope of employment:
Contact Renae Lomenick in Facilities Services immediately.
In case of life threatening injury/incident go to the nearest emergency room/urgent care facility for treatment.
Employee's responsibility on the day of the injury:
- Notify your supervisor.
- Notify Rebecca Clapp, HR Generalist in Human Resources.
- Select Managed Care Services Network Providers and make appointment. Website: www.firsthealth.com/welcome/
- Authorization for Release of Information - Complete and return to Benefit Specialist.
- Prescription Program for Work-Related Injuries (Internal Only)
- List of Participating Pharmacies
- Return to Work Form
- Employee Accident Incident Report
Supervisor's responsibility on the day of the injury:
- Notify Rebecca Clapp, HR Generalist in Human Resources.
- Complete Workers' Compensation Incident Investigation Report form and return to Benefit Specialist. (Note: Needs original form.)
