IN A LIFE OR LIMB INJURY, IMMEDIATELY CALL 911
The Supervisor contacts:
Zoe Robinette: 415-806-9348 call or text immediately
*Alternate Number - Caleb Rogers: 209-247-6583*
Temco representative will accompany EE to clinic.
Complete Supervisor forms at the clinic and wait for the EE to be discharged with directives from provider.
IN THE EVENT THE EMPLOYEE REFUSES MEDICAL TREATMENT, COMPLETE REFUSED MEDICAL TREATMENT ONLINE FORM ON TEMCO PORTAL:
Form D - Refusal of Medical Treatment
Unless serious injury, EE and Supervisor must complete IMMEDIATELY: *Found in the portal in PDF form*
Complete WC online form packet on TEMCO Portal:
Form 1- Employee's Report of Injury
Form 2 - Consent to Release Medical Information
Form 3 - WC Supplemental Forms
Form 4 - Supervisor's Report of Injury and Root-Cause Analysis
IMPORTANT: COMPLETE PACKET SAME DAY OR WITHIN 8 HOURS OF INCIDENT
Send Forms A and B IMMEDIATELY to:
Failure to complete the State WC forms holds up claim and may delay treatment
Failure to complete and return entire packet of information will delay claims handling. Packets are required within 8 hours to reduce claim lag time, a key performance indicator [KPI]
Injured Employee should not leave the work site without speaking to a supervisor.
FAILURE TO REPORT ANY INJURY COULD RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION