Workers Compensation

Information for Employees

The injured worker must report an injury to a manager and Human Resources within 30 days of the date the injury occurred. 

Next Steps

1. Complete the Employee Report of Injury and send to HR 
2. See an in-network provider.  Use the Link to Alliance Website 
3. Take the Employee Packet – Required Notices with you to the visit 
4. Give a copy of any doctor’s note to Human Resources 

• Employee’s Report of Injury Form
• Link to Alliance Website (Provider Finder)
• Employee Packet – Required Notices
• Telemed for Workers Comp
• Employee Notice of Alliance Program Requirement – TAC RMP
• Office of Injured Employee Counsel (OIEC)

Information for Managers

The manager must report an injury to Human Resources within 8 days of receiving notice of the injury. 

Next Steps

1. Use the Supervisor’s Packet to get detailed instructions for a workers comp claim 
2. Complete the DWC-001, Employer Report of Injury or Illness and send to HR 
3. Request the Employee Report of Injury from the Employee and send to HR 
4. Give the employee the Employee Packet – Required Notices to the employee 
5. Encourage the employee to use an in-network provider by using the Link to Alliance Website (Provider Finder) 

• Supervisor’s Packet
• DWC-001 – Employer Report of Injury or Illness
• Employee’s Report of Injury Form
• Employee Packet – Required Notices
• Link to Alliance Website (Provider Finder)