| STEP
1: |
Seek
medical treatment immediately |
| |
|
| STEP
2: |
Obtain
the Worker's Comp Packet from your supervisor |
| |
|
| STEP
3: |
Report
the injury/illness to your supervisor immediately |
| |
|
| STEP
4: |
Return
physician's note (return to work notice) to your supervisor |
| |
|
| STEP
5: |
Attend
to all medical appointments |
| |
|
| STEP
6: |
Keep
Human Resources apprised of your status and maintain an
accurate timesheet |
| |
|
| STEP
7: |
Before
returning to light duty or full duty, you must have a
written release |
| |
|
| Filing
Work Related Injuries: |
| |
When
injured: |
| |
To
protect your claim, notify your supervisor of ALL incidents
no matter how minor they may seem at the time.
A C-1 Form should be completed, signed by your supervisor
and forwarded to Human Resources. Retain a copy for your
records. |
| |
|
| |
Go
to the doctor if necessary: |
| |
Please
use the treatment centers listed in the brochure when
injured. Be sure to inform the physician that your injury
is work related. Their office will complete a C-4 Form
and fax us a copy. Retain a copy for your records. |
| |
|
| |
Time
off work: |
| |
A
medical release form is required form the physician for
any time off work or light duty. |
| |
|
| |
Light
Duty: |
| |
Active
employees get well faster; Douglas County will encourage
light duty. If your physician recommends light duty, they
must specify all work restrictions. These restrictions
must be followed. |
| |
|
| |
Documentation: |
| |
Turn
in all forms to your supervisor and Human Resources. Following
these guidelines will help you assure prompt coverage
on your injury. |
| |
|
| Important
Names and Places: |
| |
INITIAL
MEDICAL CARE TREATMENT CENTERS |
| |
Carson
Valley Medical Center
1107 Hwy 395
Gardnerville, NV
(775) 782-1615 |
| |
|
| |
Barton
Memorial Hospital
2170 South Ave.
South Lake Tahoe, CA
(530) 542-2000 |
| |
|
| |
INSURANCE
ADMINISTRATOR |
| |
Willis
Administrative Services
1755 E. Plumb Lane, Suite 267
Reno, NV 89502
(775) 329-1181
Fax 329-7418 |
| |
STILL
HAVE QUESTIONS?
CONTACT |
| |
Human
Resources
Risk Management
(775) 782-9860
Fax: 782-9083
Web:
hr.co.douglas.nv.us |
