Workers' Compensation Plan

 

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Incidents should be reported no more than 24-48 hours after an occurrence.


The Employee Accident/Injury Report form also known as the First Report of Injury is the document that initiates workers’ compensation benefits to the injured employee.  Any delay involving the submission of this form, is delaying an injured employee’s receipt of benefits to which he or she may be entitled.  The  Employee Accident/Injury Report must be completed in its entirety, signed by a supervisor, and sent to my attention:  Missy Mccoy, Board of Education  (Personnel Fax # 203-630-4205) or through interoffice mail.  Please keep a copy for your records.

 

If further medical attention is needed after seeing the school nurse, the employee should be immediately referred to GoHealth UC for care.

Go Health UC

482 South Broad St 

Meriden, CT 06450 

P: 203.757.0738 F: 203.956.3150

 Visit- www.GoHealthUC.com/connecticut.com on Desktop or Mobile


Should you need assistance in scheduling an appointment, you can contact Missy Mccoy at (203) 630-4209


Should an employee need emergency care, please proceed directly to the ER. 

   

Other Resources:

  

Payor and Medical Provider Guidelines

First Report of Injury

Form 30 C

Form 1A

Incident Report