Claims Management - Workers' Comp

Claims Management – Workers’ Comp

STEP 1: The most important claim management technique is to require everything that may result in an injury and/or claim against the district be reported on the same day. This applies to incidents that are minor and easily dismissed as not likely to result in a claim against the district. To help accomplish this, the JIF provides a Model Incident Reporting Policy. Download the Model Incident Reporting Policy and Procedure Here. (Word Document to Customize for your District)

STEP 2: Please complete the forms in the following order. Note: these forms should be downloaded to your computer and are not fillable.

Employee Report (This is not a fillable form. Please print and give to the employee to complete.)
Supervisor Report (Send a copy of the Supervisor’s Report to your Business Administrator and/or Safety Committee Coordinator.)
Employee Authorization for Medical Attention (Optional Form)
Employee Responsibility Letter (Word Document to Customize for your District)
First Accident Report “FAR”