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Injury Procedures

What to Do in the Event of an Injury (PDF)

Please send completed forms as soon as possible via email:

Email: Stacy.Cunningham@richlandone.org and cc' Beverley.Leeper@richlandone.org

Safety First Safety Is Everybody
 

 The below forms must be used to submit Worker's Compensation claims:

1. First Report of Injury - Fill out completely. Must be signed by principal or department head

2. Employee Acknowledgement Form - Signed by the Employee

3. Medical Release Authorization - Sign and return to Risk Management 

 

  • Approved Doctor  - Call Risk Management for an appointment. (803-231-7401)  
  • Please report the injury IMMEDIATELY to Risk Management
  • Hospitals are to be used only in the case of emergencies
  • Notify Risk Management if there is a need to call an ambulance