Use these procedures only if:

• You are a district employee or substitute
• You are injured in the course of your job and are seeking medical treatment beyond first aid and/or missing work as a result of a work-related injury.

Procedures:

1. Report work related injuries to a Site Secretary. Complete an Employee Accident Report. The Site Secretary will assist you with the necessary paperwork and will refer you to the advice nurse at Injury Care Direct.
2. Whenever possible, call 877-247-7710 before seeking medical treatment beyond first aid. If you are unable to call, a third party must call for you.
3. An employee who is directed to a Worker’s Compensation doctor must complete a Workers’ Compensation Claim Form (DWC 1) & Notice of Potential Eligibility. These documents can be obtained from a site secretary or online at http://www.dir.ca.gov/dwc/DWCForm1.pdf.
4. Employee must take a copy of the DWC 1 to the doctor and return a copy to Human Resources as soon as they are able.
5. Unless they have a Predesignated Physician's Form on file with HR prior to the incident, employees must use Kaiser Worker’s Comp doctors for the first 30 days of treatment following a work-related injury, and must report the incident to the phone number above if medical attention beyond first aid is rendered.
6. Employees who refuse treatment from the Kaiser Worker’s Comp doctor are not guaranteed reimbursement of expenses.