|
NOTICE TO SUPERVISORS
Subject: Workers’ Compensation Procedures
It is the
employee’s responsibility to report all injuries and illnesses to their
supervisor IMMEDIATELY.
 |
The
original Notice of Injury (NOI) form must be completed and
returned to the Risk Management Office within 48 hours of the
report of an on-the-job injury/illness. In the event that
medical services are taken at the time of injury, the NOI along
with the Accident Investigation form will be sent electronically
to the Claims Coordinator (see enclosed e-mail address) at the
Risk Management office. The insurance company will not
accept a fax copy. This method allows for expeditious
processing and forwarding of information to the Workers’
Compensation Administration and to provide notice to our
insurance company such that medical services can be authorized
and prescriptions approved on the day of the incident/accident.
A signed copy of the NOI will be sent via truck mail or
hand-delivered to the Risk Management Office.
|
 |
Florida
state law mandates a penalty for untimely reporting. A
late penalty must be paid by the district for failure to submit
a Notice of Injury within seven calendar days from the
date of the employer’s actual knowledge of a work-related
injury. This means the Notice of Injury must be date
stamped received in the office of our Workers’ Compensation
Claims Administrator within seven days of the report date.
Reports received within the 48 hour time frame can be timely
processed to meet this seven day requirement. |
 |
If an
employee is taken off work by an authorized treating physician
due to medical restrictions, the employee becomes eligible
for Illness-in-Line-of-Duty leave from the School Board for a
maximum of ten (10) days. To cover any/all of this time,
a request for In Line of Duty (ILD) form must accompany by the
doctor’s authorization. The form is sent to Risk Management for
approval and is entered by Payroll. |
 |
An
employee missing time after this initial ten (10) days must be
handled in a special fashion. The Risk Management office
must be notified if it is anticipated that in excess of ten (10)
days will be missed. |
 |
Notice
of Injury, Accident Investigation and Illness-in-Line-of-duty
forms are available on the Risk Management website. |
 |
The
only facility authorized for treatment of on-the-job
injuries/illnesses is First Care of Gainesville.
|
First Care of
Gainesville
4343 Newberry
Road, Suite 10
Gainesville, FL
32607
(352) 373-2340
– FAX (352) 373-3140
NO
EMPLOYEE IS AUTHORIZED TO SEEK MEDICAL CARE WITHOUT AUTHORIZATION
NOTICE TO EMPLOYEES
Subject:
Workers’ Compensation Procedures
 |
It is
the employee’s responsibility to report all injuries and
illnesses to the supervisor IMMEDIATELY.
|
 |
The nurse at your work location or
designated school will administer “first aid” and assist in your
care, with the exception of serious/life-threatening injuries,
employees will see the nurse at your respective work location or
designated location for initial care. The nurse will assist you
in any further necessary care. |
 |
If illness/injury occurs to employees
at departments or buildings (not school locations), these
employees are to report to the nearest school and will be
assisted by the school nurse. |
 |
Our authorized medical facility is
First Care of Gainesville (see address below). Emergency
rooms are to be used only if the accident is
serious/life-threatening and/or the employee
cannot be treated at First Care of Gainesville.
|
 |
Employees returned to “Light or
Restricted” duty will be accommodated at the workplace if at all
possible. When not possible, the work site supervisor will
coordinate “reassignment” of the employee for the restricted
period with the Risk Management office. The employee will be
reassigned through our Personnel Department and will remain so
reassigned until released by a physician. At this point,
the employee will be returned to their work area. |
 |
If the Managed Care Physician
determines that you are unable to work, you must report this to
Risk Management 955-7654 ext. 369 and your supervisor. The Risk
Management office must be provided the authorized physician’s
work status note. Illness in the line of duty will be
determined. You must also notify Risk Management upon return
to work. This is critical for uninterrupted pay status. |
 |
Follow up appointments,
rehabilitation, or therapy must be scheduled during non working
hours. |
 |
Follow the directions of the Managed
Care Physician instructions for any medical specialist or
treatment referrals. |
 |
The Managed Care Program provider
authorized for treatment of on-the-job injuries/illnesses is
First Care of Gainesville. |
First Care of
Gainesville
4343 W Newberry Rd, Suite 10
Gainesville, FL 32607
(352) 373-2340
NO EMPLOYEE IS AUTHORIZED TO SEEK
MEDICAL CARE WITHOUT AUTHORIZATION It is important for you to
know Florida Statute 440.134(17) which states, “Treatment received
outside the Worker’s Compensation Managed Care arrangement is not
compensable unless authorized by the carrier prior to the treatment
date.”
In the event that you are out of
town and an illness/injury occurs in the performance of duty, you must
immediately call
352-955-7654 ext. 369 (8:00 am –
5:00pm) and after hours call 352-215-7230. Instructions for
medical care will be provided.
|