Workers Compensation

What To Do If Your Employee Is Injured At Work (Supervisor)

• Please instruct the employee to call Company Nurse at 1-877-310-1493 and use Search Code QS374.
• Once you have received notice of an employee injury, provide the employee with the Employee Report of Injury form to complete and have the supervisor sign the bottom portion. The DWC 1 form needs to be provided and completed only if the employee is opening a claim and going to the doctor. 
• Explain to the employee that they have the right to file a Workers' Comp Claim and receive medical care.
• Give the employee the tri-fold brochure entitled "Workers Compensation What To Do If You Are injured At Work" for a list of our healthcare providers.
• Complete the Supervisor Report of Injury form. If a DWC 1 form is completed by the employee, the supervisor needs to complete question #'s 12, 13, 14. Then sign the form next to #17 and complete #'s 18 and 19.
• Submit all forms as a PDF immediately to workerscomp@mdusd.org. Originals must follow via District pony mail.

Return to Work Program

MDUSD strives to return injured/temporarily-disabled employee back to the workplace as soon as is medically appropriate. Our Return to Work Program (RTW) provides our employees with the opportunity to return to work in a transitional work assignment while they recover.