Important Forms

• General Liability
• Serious Injury/Illness or Fatality
• Student Accidents
• Student Incident
• Pre-Designation
• Property Liability
• Workers Compensation

General Liability

GeneralLiability.pdf

Serious Injury/Illness or Fatality

SeriousInjury_IllnessorFatalityForms

Student Accidents

Student Accident Reporting Procedures & Form

Student Incident

LUSD Incident Report Procedures Memo July 2019

LUSD Confidential School Accident Report July 2019 Fillable

Lynwood Unified School District Incident Report July 2019 -Fillable

Pre-Designation

Pre-Designation Form

Pre-Designation personal physician

Pre-Designation-Spanish

Property Liability

Property Incident/Claims Reporting Procedures

Property Auto Claim Form

Workers Compensation

What to do when you are injured

Workers' Compensation Accident/Injury Checklist

Work Comp Process

WORKERS COMP PROCESS (DETAIL) 2019-2020

Instructions For Checklist

Worker's Compensation Accident : Injury Checklist

Employee's Report of Occupational Injury or Illness

Supervisor's Report of Employee Injury

Declination of Medical Treatment

Release of Medical Information

DWC-1

Kaiser On-the-Job Cerritos Area (1)

Kaiser On-the-Job Downey (Bellflower) Area 2016 (1)

Concentra English

Concentra Spanish

Facts about Worker's Compensation (Eng)

Facts about Worker's Compensation (Span)

Medical Provider Network MPN English

Medical Provider Network MPN Espanol