Step I: Required Documents for Medical Care, Prescriptions, and Insurance Coverage:
- Your medical provider will need to be shown your email for Verification of Employment for your Workers’ Compensation Claim.
- Use the following tool to help find an in-network provider: https://www.pswca.org/find-a-provider.html
- If any medication is prescribed after seeing a medical provider, use the Optimum Workers’ Compensation Prescription Drug Card
- Complete the Form to Elect Leave Benefits to ensure you are paid for your missed time: https://forms.gle/TP3eKpjPqUibz1Fz6
Step II: Complete your First Report of Injury within 24 hours:
- Online First Report of Injury (FROI) link: https://www.tasbrmf.org/claims/report-a-claim
- For reference, this link will provide an example of what information is needed to complete this form: https://drive.google.com/file/d/125eSRMM2KaKlMJ6hsS_LfYJf8ZUqQmqq/view?usp=sharing
Information: Review Important Workers’ Compensation Information
What Employees, Managers, and Supervisors Should Know about Workers’ Compensation Reporting. We encourage you to review the following helpful documents included in your packet:
- Employee Notice of Alliance Requirements: https://www.tasbrmf.org/resources/resource-library/employee-notice-alliance-requirements
If You Do Not Wish to File A Workers’ Compensation Claim:
Once you have completed all of the Workers’ Compensation Claim documents. If you decide not to pursue a Workers’ Compensation claim, please respond to the original email with the following statement:
- “I, <Your Full Name>, the injured employee, choose not to file a Workers’ Compensation Claim for the injury reported at this time. I understand that this decision will halt all further claim processing by the ACC Risk Management Department. If I decide I want to file a claim in the future, I must complete all necessary requirements listed above to file a Workers’ Compensation Claim.” Please attach an image of your ACC Badge/ID in your reply to serve as your signature.
Contact Us
Office of Risk Management & Insurance
RFM Support Form
Risk Management: risk@austincc.edu