A school district, being a dynamic environment, sometimes experiences accidents to employees. Should you experience a work related injury, please contact your supervisor immediately to fill out the appropriate forms.
Employee's instructions in the event of a workplace injury:
**DWC-1 Claim Form (Employee section numbers 1 thru 9 only)
**Employee must have contacted the Company Nurse Hotline and completed these 3-forms to initiate a claim. Please return all completed forms to your immediate supervisor, and/or send to Carol Gerken in the MBUSD Business Services office (EMAIL: email@example.com or FAX: 310-303-3823)
Supervisor's instructions in the event of a workplace injury:
MANDATORY WORKPLACE WORKERS' COMPENSATION POSTERS/FLYERS: Please post the following on all staff information bulletin boards or the like:
Notice to Employees--Injuries caused by Work (CA DIR): Post in English and Spanish
Workers' Compensation Fraud: Post in English and Spanish