Worker's Compensation
COMPANY NURSE INJURY HOTLINE: 1-877-247-1451
AVAILABLE 24 HOURS A DAY
1. Injured worker notifies supervisor IMMEDIATELY.
2. Supervisor/injured worker immediately calls injury hotline at 1-877-247-1451
3. Company Nurse gathers information over the phone and helps injured worker access appropriate medical treatment.
After following the instructions above, if the employee wishes to see a Workers' Comp Doctor,
contact Helen Stanton @ 450-4800.
Please indicate name of Workers' Comp doctor you wish to see (Dr. Gil Johnson or Dr. Robert Rook).
(appointments MUST be made by Helen Stanton or an administrator in her absence)
Within five (5) calendar days, the employee must complete and send to Helen Stanton:
1. the Workers' compensation form "AR-N" (2 pages)
2. form AR-N Acknowledgement (1 page), and
3. the Report of Accident form (1 page)
(all form links are at the bottom of this page)
Notify Helen of the first day the employee is not able to work due to the accident.
Notify Helen of the first day the employee RETURNS to work full or part-time.
FAILURE TO FOLLOW ALL PROCEDURES COULD RESULT IN NON-PAYMENT OF CLAIM
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Emergency situations are to be given priority over these procedures and then follow the reporting procedures in a
timely manner. It is vital that this information is given in an accurate and timely manner.
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EMPLOYEE PRINT AND COMPLETE ALL FORMS AT BELOW. They are:
State Report of Accident Form "AR-N" (1 page)
Form "AR-N" Acknowledgement (1 page)
Conway Public Schools Report of Accident Form (1 page)
State Report of Accident Form "AR-N" (1 page)
Form "AR-N" Acknowledgement (1 page)
Conway Public Schools Report of Accident Form (1 page)
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