- West Contra Costa Unified School District
- Worker's Compensation
Worker's Compensation
How to Report Worker's Compensation Claims
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Step 1:
Each Employee is responsible to immediately report to their Supervisor that they have been injured themselves while working# -
Step 2:
If an EMERGENCY, DIAL 911 and get Employee treated# Call 1-888-375-9779 Company Nurse on Call 24/7 Hotline AFTER treatment, -
Step 3:
Employee/Supervisor calls 1-888-375-9779 and give code "CSIG" Company Nurse on Call 24/7 Hotline with Employee present, BEFORE Employee leaves the premises# Then, Company Nurse will determine:- First Aid Advice Only - The Nurse obtains information about the incident and will provide advice, which the Employee is to follow# The Employee may return full time to their regular position# If medical situation worsens or does not improve, the Employee is to call back Company Nurse for appropriate medical referral#
- Medical Referral - If the Nurse determines medical treatment is needed, they refer Employee to your district's designated Medical Facility; Employee then goes to designated Medical Facility for treatment #unless they have pre-designated their personal physician prior to the injury##
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Step 4:
Company Nurse transmits Supervisor's Report of injury to District Claims Coordinator#
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Step 5:
Employee returns copy of Work Status Slip to District Claims Coordinator:
- Release to full duty
- Released with work restrictions or limitations
- No release to work
- If work restrictions apply, the District Claims Coordinator will work to either modify the Employee's usual job or provide a Temporary Work Assignment #bridge##
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Step 6:
CCCSIG will mail Employee a DWC-1 Workers' Compensation Claim Form to complete immediately to begin the claim process# State law requires that this form be provided to the Employee or a dependent within one #1# working day of receiving notice or knowledge or any injury being work-related#
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Step 7:
For Safety Prevention Focus - For All Incidents: Supervisor to complete CCCSIG form "Accident Investigation Form" which will be sent to the supervisor by email from the District HR Office# You may then fax the form to #510# 412 - 0457 or email pramos-baker@wccusd.net or swebber@cccsig.org.COMPANY NURSE1-888-375-9779
Contact Us
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Human ResourcesLocation: 1108 Bissell Ave.Richmond, CA 94801Office: (510) 231-1185Benefits: (510) 231-1159Workers Compensation: (510) 231-1166Dr. Camille JohnsonAssociate Superintendent, HRDr. Sylvia GreenwoodDirector of Human Resources, CertificatedDenise SteenDirector of Human Resources, Classified