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Workers' Compensation

USD 330 WORKERS’ COMPENSATION PROCEDURES

When an employee is injured at work:

Administrator:

Notify Tasha Raine, District Office, when a staff member is injured.

Complete Supervisor’s Accident Investigation Report.

Have witnesses complete the Witness Accident Report.

 Send Supervisor, Witness and Employee incident reports to Tasha Raine, District Office.

Employee:

Complete Report by Injured Employee

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When an employee needs medical treatment:

Administrator: 

(fill out the typeable form and give to employee to take with them)

Complete Registration/Treatment Consent

 through Injury Accident section. The employee MUST take this form to care provider when seeking medical treatment.

Employee:

 Get the form listed above from your administrator before leaving for treatment.

Take the Registration/Treatment Consent form to:

• Between 7:00 AM­4:00 PM: Employee needing medical treatment will go to St. Francis Occupational Medicine Clinic, 2nd Floor, 631 Horne, Topeka,

• After 4:00 PM: Employee needing medical treatment will go to St. Francis Health Center Emergency Room, 1700 SW 7th, Topeka.


When an employee returns to work:

Employee:

 Present medical release from a medical care provider to your supervising administrator before returning to work.

Physician should note any work restrictions on the release.

Administrator:

 Forward medical release to Tasha Raine, District Office.

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Ċ
Jeannie Browning,
Aug 2, 2017, 8:10 PM
Ċ
Jeannie Browning,
Aug 2, 2017, 8:10 PM
Ċ
Jeannie Browning,
Aug 2, 2017, 8:10 PM
Ċ
Jeannie Browning,
Aug 2, 2017, 8:10 PM
Ċ
Jeannie Browning,
Aug 2, 2017, 8:10 PM