Text Options for the Visually Impaired Font Size: a- A+ Color: A A A Revert 
Close vision bar
Open vision bar

Work Related Injury Reporting

   

The Alliance The Arizona School Alliance for Workers' Compensation, Inc

Injured on the Job

If you are injured on the job you must report the injury to your supervisor or campus-nurse on the same day the injury occurred, if not immediately.  All workplace or job-related injuries and accidents must be reported to the District Office not later than five (5) days following the incident. 

The employee and the supervisor or nurse will complete the Supervisor’s Report of Industrial Injury at a minimum, a call to The Alliance Triage number is recommended, (888) 252-8422.  More information may be required or requested depending upon the situation.  The employee’s address and phone number are required so that proper follow-up contact can be made by the Safety Coordinator and the District insurance carrier.

If you opt to seek medical treatment the District has a working agreement with NextCare in Avondale.  The employee does not have to select NextCare for treatment however; it will simplify billing and communication with the District insurance carrier.  If the employee goes to the same medical provider for the same injury two (2) times the employee has declared that medical provider as the primary care for the injury.

The immediate supervisor must be notified immediately if the employee will miss work or if the doctor has put the employee on restricted duty.  A copy of all notes and restrictions from the doctor must be provided to the Supervisor or Benefits Coordinator.

All attempts will be made to provide the employee with reasonable modified duties to assist the employee in returning to the workplace and full-duty as soon as possible.  The employee will adhere to all instructions and guidelines of the modified position.  Refusal to accept the modified position will be construed as a refusal to work.  Modified/restricted positions will be compensated at the pay rate established by the District for that position not to exceed the pay rate for the employee’s regular position.  Modified duty scheduling and location is not intended to be identical to the employee’s previous location and/or schedule.  However, the position will be at a location and/or have a schedule that is comparable to the employee’s previous position.

The duties of the position and the schedule will comply will all physician’s restrictions as well as be flexible to allow the employee to attend all reasonably scheduled appointments relative to the injury. There must be communication with the immediate supervisor in regards to appointments and any job modifications or restrictions.

Modified/restricted duties may be altered if the restrictions are changed or if the supervisor has reasonable cause.  It is the employee’s responsibility to notify the supervisor if there has been a change in the work restrictions. 

An employee is not allowed to return to work following the injury until the doctor has released the employee.  The supervisor should be notified as soon as the doctor releases the employee.

 

 

Downloads