1. Notify your manager, supervisor, site, or administrator promptly if you are injured or ill.

If you suspect that your injury or illness has developed gradually due to your job, inform your manager, supervisor, site administrator, or their representative promptly. They will then report the claim to Sedgwick, the third-party administrator responsible for managing workers' compensation claims in the district. You will be provided with a State of California CLAIM FORM (DWC 1) by your manager, supervisor, site administrator, or their representative.

It is crucial to fill out the employee section of the form and return it to your worksite without delay. Any delay in completing and submitting the claim form (DWC 1) could impact your eligibility for benefits.

2. There are various options available for receiving medical treatment for your work-related injury.

• In case of a critical injury, call 911 immediately for prompt assistance. Head to the nearest emergency room or medical facility if urgent medical attention is necessary.
• For non-emergency injuries that only need first aid, it can be administered at your workplace.
• Nurse Triage - When reporting a work-related injury to your supervisor and the Third-Party Administrator, you may request to speak with a telephonic registered nurse. The nurse will offer care advice and, if needed, arrange a medical evaluation and appointment with a provider. Follow-up communication will occur within 36 hours. Using Nurse Triage services is optional.

If your injury requires medical attention but is not an emergency, you can choose a physician from the LAUSD Medical Provider Network by visiting their website https://www-sf.talispoint.com/sedgwick/campn1/

3. A Sedgwick claim representative will reach out to you within a few days. Your claim representative will reach out to you to obtain additional information regarding your injury if needed, and to explain what workers' compensation benefits you may be entitled to. 

4. Complete and return any forms sent to you promptly. These forms are crucial in determining the benefits you are eligible to receive.

5. Attend your medical appointments, share medical information, and provide return-to-work details to the Sedgwick claim representative handling your claim, as well as to your supervisor or site administrator.  

The District uses a Medical Provider Network (MPN). When reporting the claim, you can talk to a registered nurse to discuss the need for medical treatment and direct and schedule a medical appointment for you. If you do not want to speak with a nurse, you can select a medical provider through the Medical Provider Network.

Please check Segwick's Medical Provider Network website at http://www.sedgwickproviders.com/campn1.
You can search by county/city or address. A roster of all participating providers in California can be downloaded.

Workers' Compensation Benefits:

• Regular employee's workers' compensation benefits are paid by the Third-Party Administrator and Payroll.
• Temporary total disability benefits, paid by the Third-Party Administrator, amount to two-thirds of your gross (pre-tax) wages lost during recovery from a work-related injury, capped at the maximum weekly amount set by law.
• Your total wages include all income sources from work and any secondary employment when calculating temporary total disability benefits.
• Educational Code Benefits:
• You can supplement your temporary total disability benefits with 1/3 of your wages using illness time for Educational Code benefits, not exceeding your regular earnings.
• After exhausting illness time, you will solely receive temporary total disability benefits.
• Review the Educational Code and Collective Bargaining Agreement for more information.

Un-benefited employees receive workers' compensation benefits in the form of a check from the Third-Party Administrator.

Partial days off due to doctor's appointments will be only if the Salary Continuation Verification. The form is completed and submitted to Sedgwick. Upon authorization by Sedgwick, the District's payroll department will process continued salary pay if the full 60 days has not yet been exhausted. Upon exhaustion of the 60 days of continued salary, all further absences for doctor's appointments will be charged as illness time. 

Yes, the District requires you to request a formal Leave of Absence anytime you will be away from work for 20 or more consecutive workdays.

The term "formal leave" refers to any leave of more than 20 consecutive workdays in duration. Formal leaves must be applied for in writing using district forms.

For Laws and Rules on Leaves of Absence, refer to Personnel Commission Rule 803: Leaves of Absence. You can find information related to Leave of Absence for your specific Collective Bargaining Agreement on the Office of Labor Relations website under Union Contracts.

Please contact your manager, supervisor, or site administrator to provide them with your temporary work restrictions.  Your manager, supervisor, or site administrator will review your temporary work restrictions and determine if they can offer temporary modified work.