• Report all work-related injuries immediately to Cindy Smith at the Benefits Office at 469.948.8071, even if the employee does not plan to see a doctor.

• Have the employee fill out the First Report of Injury form. FAX the completed form to the Benefits Office at 972-350-9360. Keep the original in your office for your records.

• Give the employee copies of the MEDICAL FACILITY NOTIFICATION FORM -- to take to the doctor and Workers' Compensation Prescription Temporary Card form for the pharmacy. Do NOT return a copy of this form to the Benefits Office. The employee should not have any out-of-pocket expenses. Inform the employee that they MUST see a doctor who accepts Workers’ Compensation. They MUST NOT use their personal health insurance. Also provide the Employee Rights and Responsibilities flyer.  

• If an employee is leaving work due to their injury on the SAME day the injury occurs, let the Benefits Office know.  They will not be docked for this time.

• After the employee has seen the doctor, if the DOCTOR takes the employee off work, code the absence as “Workers’ Comp”. A form will be sent to the employee giving them the opportunity to authorize LISD to NOT use their available paid leave during the 7-day waiting period before they can be compensated by Workers’ Comp for lost time.  If the form is not returned to the Benefits Department, their available paid leave will be used.

• For doctor/physical therapy appointments, the absence is coded as state/local Personal - encourage doctor/physical therapy visits to be made during non-working hours.

All work-related injuries should be reported as soon as possible to the Benefits Office at 469-948-8071. 

This form should be filled out even if the employee does not plan to see a doctor.  This protects the employee such that if they need to see a doctor in the future the injury has been reported.

The employee should fill out the Employee's First Report of Injury or Illness and return the form to the nurse or secretary on the campus who will fax/e-mail it to the Benefits Office.  Pages 2-6 are to be given to the employee for use at the doctor's office (page 2) and pharmacy (page 3).  The employee must see a doctor who accepts Workers' Compensation and must not use their personal health insurance.

Our third-party vendor for Workers' Compensation is Claim Administrative Services, Inc. They can be reached at 800-765-2412.

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Lewisville ISD wants you to fully recover from your work-related injury as fast as possible. You have a right to choose your treating doctor as long as the doctor accepts Workers’ Compensation insurance. As a courtesy, LISD has identified some area doctors that provide quality care, accept Workers’ Compensation insurance, and understand how to treat occupational injuries. Telemedicine option is now available, see below. Please contact the Benefits Office at 469.948.8071 or Claims Administrative Services, Inc. at 800-765-2412 should you have any questions regarding the rules for choosing your Treating Doctor or changing your Treating Doctor.

Medical Facilities

NOTICE TO NEW EMPLOYEES

“You may elect to retain your common law right of action if, no later than five days after you begin employment or within five days after receiving written notice from the employer that the employer has obtained coverage, you notify your employer in writing that you wish to retain your common law right to recover damages for personal injury. If you elect to retain your common law right of action, you cannot obtain workers’ compensation income or medical benefits if you are injured.”

View Notice of Coverage

View Notice of Injured Employee Rights and Responsibilities