California law guarantees certain benefits to employees who are injured or become ill because of work performed in the course of the job. Some of the benefits are medical care, payment for lost wages, and rehabilitation.
Worker's Compensation Reporting Process:
- Call the Company Nurse Program and reference your Company Search Code: QT279 at 1-877-518-6702 and share details of your incident/situation with Company Nurse.
- Notify your direct supervisor/manager.
- Complete and return the Workers' Compensation Claim Form (DWC-1) as soon as possible to Human Resources.
- Complete as much of the Supervisor's Accident Report Form as possible, sign and submit it to your supervisor/manager. (they will fill in any
missing information and return it to HR after it is fully completed and signed by
both of you).
- Seek treatment from one of the Panel Providers listed below, or from your pre-designated physician on file.
Panel Providers:
- Doctors On Duty (locations in Salinas, Marina, Seaside, Monterey, and Watsonville)
- Agile Occupational Medicine (locations in Salinas, King City, Hollister, and Watsonville)
- Harbor Health Medical Provider Network (See "Workers' Compensation Notice" above)
In December 2020, the District implemented the Company Nurse Program to facilitate 24/7 assistance to employees who need to report a work-related injury/illness, access and seek medical treatment for the injury/illness, and receive assistance throughout the treatment journey.
Call Company Nurse at 1-877-518-6702 and reference your Company Search Code: QT279
- Supervisor's Accident/Injury Report Form (.pdf fillable)
- Workers’ Compensation Claim Form (DWC 1) & Notice of Potential Eligibility (.pdf fillable)
- New Hire Informational Brochure - English (.pdf)
- New Hire Informational Brochure - Spanish (.pdf)
- Pre-designation Form: Personal Physician English (.pdf fillable)
Employees can receive treatment from their pre-designated Personal Physician if the pre-designation is provided in writing, to the District before experiencing a work related injury/illness. Employees who do not pre-designate a Personal Physician seek treatment from a Panel Providers listed below.
(Last update: 05/24/22)