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ON-THE-JOB INJURIES
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The Everett School Board recognizes that safety and health standards should be incorporated into all aspects of the operations of the District. Your safety is important to us.
If you are injured at work report your accident/injury to your supervisor, then CALL NURSE TRIAGE HELPLINE AT 833-WCT-NURS (833-928-6877) whether you seek medical care or not.
In the event of a life-threatening emergency, call 911.
The Puget Sound Workers’ Compensation Trust is the third-party administrator managing the District’s employee Accident/Incident Reports and work injury claims. If you indicate that you have sought or intend to seek medical care, a claim for worker's compensation benefits will be established for you. You will hear from PSWCT within three business days.
Upon submitting your report and work injury claim, the Puget Sound Workers’ Compensation Trust will email you the following:
- Your claim number (give this number to your doctor/medical provider)
- Medical cards (for treatment, services and/or to purchase any medical equipment you may need)
- Prescription letter (to fill/pay for any prescriptions from your medical provider)
- General work injury claim information
When submitting a work injury claim, you must also contact the Payroll and Benefits department to discuss your status and next steps. If you are off for any amount of time related to your work injury claim, you are required to complete a time loss election form, which must be requested from the benefits office, completed by you and then submitted back to the benefits office within 7 days of the date of injury. The benefits office will review this required form with you, as your elections will directly impact District pay and may impact your medical benefit eligibility. All completed forms can be faxed to 425-385-4135.
You may choose your own doctor/medical provider for your first treatment visit. However, ongoing treatment of your injury must be from a state-approved medical provider. Below are links to provider lists that support your work injury claim:
State L&I Search for Medical Providers
It is extremely important that you submit a copy of the completed Activity Prescription Form (or whatever paperwork the medical provider gives you) immediately after receiving treatment and following every appointment. This document can be faxed to the benefits office at 425-385-4135, scanned and emailed to benefits@everettsd.org, or brought to the benefits office in the CRC Building at 3900 Broadway, Everett.
If you have general questions regarding workers' compensation benefits, please visit the Department of Labor & Industries website for injury claims. For specific claim questions after filing, please contact your claims adjustor with Puget Sound Workers' Compensation Trust at 253-778-7667.
IMPORTANT DISTRICT CONTACT INFORMATION
Phone: 425-385-4115 Fax: 425-385-4135
Email: benefits@everettsd.org
Payroll and Benefits Department
Community Resource Center
3900 Broadway, Everett WA 98201
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What happens now that I incurred an injury at work? Can I still work?
Everett Public Schools is self-insured and uses a third party administrator, Puget Sound Workers Compensation Trust, to manage our claims.
If you seek medical treatment related to your work injury, you will need the physician to provide you with an Activity Prescription Form (APF). This form will dictate whether you are able to return to work fully, with restrictions, or if you cannot return to work.
If your APF has any physical restrictions on it the Benefits team will need to confirm with your building that they can be accommodated prior to your return to work.
Each time you seek medical treatment from your physician you will need to provide the APF to the benefits office within 1 day of your visit. This form helps us to track your lost time and ensure you receive the proper district pay and any time loss benefits from PSWCT.
If you are out of work for more than three days related to this injury, we will need a time loss form completed by you in order to make sure you are paid correctly.
Be sure to enter your time off into Frontline Absence Management. For doctor's visits, please enter the absence time as sick time. If you are restricted from working by your medical provider due to the injury, please enter your absence time as L&I Disability. Unreported absences will need to be submitted to your supervisor on an Absence Verification form as soon as possible if you were unable to submit your time in Frontline.
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What happens if I have working restrictions?
Each time you seek care related to your injury, you will need the physician to provide you with an Activity Prescription Form (APF) and provide this to the benefits office within one (1) day of your visit. The working restrictions typically have a time frame associated with the restriction. Once the restriction deadline has passed, the district can presume that you can return to work in your full capacity. If you feel continued restrictions are needed, you need to discuss this with your physician and provide another APF with any ongoing restrictions. Be sure to keep track of the dates of restrictions and schedule ongoing appointments as needed.
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If I can't work, how will I get paid?
While you are away from work and L&I is paying you, the district needs to know how you would like to be paid from us.
A Time Loss form is required to let us know your wishes. You will receive this form, uniquely updated with your information, from the benefits office.
You have three choices you will designate on the form to determine any pay you receive while on leave.
- you want ONLY the amount that workman’s compensation will pay you,
- you want the district to use part of your sick or personal leave to make up the difference while you are out of work,
- or, you want to use a FULL day of leave in addition to what L&I is paying you.