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Workers' Compensation
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California's workers’ compensation system is designed to provide state-mandated benefits to employees who are injured on the job with medical treatment related to the injury or illness, temporary disability to replace wages while recovering and help return to work. Workers’ compensation does not include damages for pain and suffering or punitive damages.
If you are injured on the job, please notify your supervisor immediately and contact the District Company Nurse.
The safety of employees is the district’s priority and we are committed to providing the best medical care and attention available for a quick recovery and prompt return to work.
Forms
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Confidential Supervisor Incident Investigation Report
Confidential Supervisor Incident Investigation Report.docx 75.2 KB (Last Modified on February 25, 2021) -
First Fill Temporary Prescription Card
Mitchell First Fill Temporary First Prescription Card.pdf 180.22 KB (Last Modified on February 25, 2021) -
Medical Provider Network (MPN) - English
Wellcomp Medical Provider Network MPN pamphlet - English.pdf 273.67 KB (Last Modified on February 25, 2021) -
Medical Provider Network (MPN) - Spanish
Wellcomp Medical Provider Network MPN pamphlet - Spanish.pdf 269.42 KB (Last Modified on February 25, 2021) -
Workers' Compensation Claim Form (DWC 1)
Workers Comp DWC-1 claim form 2016 Sedgwick- Fillable.pdf 108.75 KB (Last Modified on November 3, 2021)
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