• Workers' Compensation

    Para informacion en español

    Georgetown ISD provides Workers' Compensation benefits to employees who become injured or ill on the job. Workers' Compensation provides employees with medical benefits and, in some cases, weekly income payments (known as Temporary Income Benefits), if you experienced a work-related injury or occupational illness. All work related incidences must be reported to the Supervisor immediately (even if they do not seek medical attention) and the necessary information below must be completed immediately, no later than 24 hours of the incident time/date. Review the DEC Local, DEC Legal, and CRE Legal policies for more information. 

    Below are instructions to complete the necessary Workers’ Compensation documentation due to your work-related incident. Once you have completed these documents, return the documents to the Campus Nurse or Departmental Secretary immediately, no later than 24 hours of the incident time/date so that they may be sent to the Human Resources department. If the incident is life-threatening please call 911 and notify the immediate Supervisor. Once you are stabilized, please complete the necessary Workers' Compensation documentation below.

    Need assistance with completing the information below? We're here to help. View our step-by-step assistance video

    Step 1:

    1. Rights & Responsibilities - (English or Spanish)
      • Documents for your records only (no action required)
    2. First Report of Injury - (FROI
      • Complete line item 1-29, 40, and 51 (No. 51 - employee signature)
    3. Acknowledgment of Alliance - (English or Spanish)
      • Complete the required fields (name, signature, etc.)
    4. Leave Election Form (Non-Offset) - (English or Spanish)
      • Complete the required fields (name, position, date of injury, signature, etc.)
      • Select one of the three boxes (Check box icon )
      • District authorized signature (leave blank)
    5. Provider Finder - (Provider Locator or PDF)
      • Documents for your records only in case you decide to seek medical attention
      • You have the option to utilize a user-friendly provider finder search engine or a GISD Provider Finder document
      • Please be sure to contact the location before your departure

    ** If you have a desire to seek medical attention - proceed to Step 2**

    Step 2:

    1. Prescription First Fill Form - (Prescription First Fill)
      • Complete the required fields (Name, date of injury etc.)

    After the completion of steps 1 and/or 2:

    • Return the completed documents to the Campus Nurse or Department Secretary to send to the Human Resources department
    • This information will be sent electronically via fax or email to Human Resources
    • You're able to keep the original copy for your record keeping purposes

    Texas Mutual is Georgetown ISD's Workers' Compensation Insurance carrier. If you seek medical attention, a Texas Mutual Workers' Compensation Adjustor will contact you directly.

    If you have any questions or concerns, please contact the Coordinator of Benefits & Leaves at smitha5@georgetownisd.org or 512.943.5000 ext. 6092.

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*click on the for more information.
How can we improve workplace safety?

- Discover ways to prevent a work related injury: Safe Lifting, Back Safety, or Slips, Trips, and Falls Safety.

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