Human Resources Workers' Compensation Resources

  • Injury and accident reports must be completed within 24 hours.
  • If you have any questions, please contact Kathy Fernandez at kfernandez@nwresd.k12.or.us, 503-614-1445
  • Confidential Fax: 503-614-3186
STUDENT INJURY REPORT >>
Please click on the link above.

EMPLOYEE ACCIDENT/INCIDENT REPORT >> 
An employee accident report must be completed for ALL accidents/injuries. Please submit the Accident/Incident report electronically if at all possible (printing off the report to complete it removes reporting function of Public School Works). If you are filing a workers' compensation claim you must complete BOTH the electronic accident/incident report and the 801 claim form linked below.

**NOTE** If your accident/injury involves a student, DO NOT include the student's name on the accident report. Please refer to the student as "student" or by their initials only.  Student information must be kept confidential.

  • Employees who seek medical attention and wish to file a worker's comp claim must complete 801 Workers' Compensation Claim Application within 24 hours of the incident, or as soon as a medical condition is known. SIGNED 801 forms can be faxed to 503-614-3186. DO NOT send Form 801 directly to SAIF.

NWRESD's Workers' Compensation Carrier is SAIF >>


FAQ

1. Who must report on-the-job injuries?

ALL regular, temporary and substitute employees must report injuries. ALL student injuries and injuries involving visitors must be reported as well. An incident report must be completed within 24 hours of the injury.

2. Who can file a workers' compensation claim?

Only employees of the NWRESD (regular, temporary and substitute). If you employed by the NWRESD and paid by NWRESD payroll, then you can file a claim. Vendors and contracted employees must file a claim through their own employer. There are some exceptions, so please contact Human Resources for details.

3. What do I do if I get hurt on the job?

The first thing you do is report the injury immediately. Tell your supervisor about the injury and how it happened. Then you and your supervisor should complete the incident report.

4. When do I file a Workers' Compensation Claim?

ONLY when you seek medical treatment. If you do not see a doctor, do not file a claim. However, always report an injury to your supervisor and complete an incident report for every injury, even if you don't need medical treatment.

If your injury is something that can be treated with simple first aid, you should do so at your site. It is only when you seek treatment from a medical professional that you should complete a worker's compensation claim. You have 60 days from the date of an injury to file a workers' compensation claim.

To file a claim, complete the 801 form. You complete the worker portion, then send the form in to Human Resources IMMEDIATELY via fax at 503-614-3186 or you can scan a completed, SIGNED copy and email it to Kathy Fernandez. NWRESD has a small window in which they can legally send it over to SAIF, so the form is needed in HR as soon as possible.

5. What should I do when I seek medical treatment?

Tell your doctor on your FIRST visit that your injury happened on the job or that you believe that your illness is work-related. The doctor must tell you if there are any limits to the medical service he or she can provide. You can bring a copy of your 801 form, or be sure to tell your doctor that your worker's compensation carrier is SAIF.

6. How will I know if my claim has been accepted or denied?

SAIF will evaluate your claim and decide to accept or deny it. The decision must be made within 90 days. In some cases it will take 90 days to gather the medical or employment information needed to make a decision. If your claim is denied, you will be given a specific amount of time in which you can appeal the decision.

You can also track your claim through SAIF's Manage Your Claim section of their website.

7. What are the medical benefits?

If your claim is accepted, your medical providers will be reimbursed for treatment related to your accepted condition. In Oregon, the amount of payment is determined by the Oregon Worker's Compensation Fee Schedule. It is available on SAIF's website.

8. Can I be charged for any medical treatment?

You can be charged for medical costs if:

  • Treatment of conditions is not related to an accepted illness or injury
  • Treatment has not been prescribed by your attending physician. This would include, but not be limited to, treatment of non-attending physicians that continues after SAIF has notified you to change.
  • Palliative care, which is not covered by Worker's Compensation Law and not approved by SAIF. This includes most treatments after your have been declared medically stationary after your injury.

9. What do I do if my injury/illness requires that I lose time away from work?

You will need to provide medical documentation stating that you cannot work. Workers' compensation does not cover the first three days away from work, so you would have to use sick leave or other leave during that time. If you are away from work longer than three days and your claim has been accepted by SAIF, they will provide time loss compensation at two-thirds of your average weekly wage at the preloss rate.  The remaining 1/3 will be deducted from your accrued paid leave, unless you notify Payroll to leave the remaining amount as unpaid. SAIF does not reimburse time loss for attending medical appointments unless they have scheduled the appointment and are requiring you to attend as part of your SAIF claim (eg. an Independent Medical Exam).

While you are away from work on Workers' Compensation leave, you are responsible for continuing to enter your Absences into Absence Managment and verify your Timesheets by the due date set by payroll.  In addition, you must check in with your supervisor and/or Human Resources ONCE A WEEK to give updates on your condition. Failure to do so may result in disciplinary action.

Please read your Employee Rights and Responsibilities very carefully. You must fulfill your responsibilities or risk having your claim denied or face disciplinary action.

10. Who do I contact if I have further questions?

Please contact Kathy Fernandez via Email or at 503-614-1445.