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Workers Compensation

South Sanpete School District provides Workers Compensation Insurance through the Utah School Boards Risk Management Mutual Insurance Association. The purpose of this insurance is to cover medical costs and lost wages for on-the-job accidents.  If an employee has an on-the-job accident, the following steps should be taken:

1) If the injury is life threatening, the employee should immediately be taken to the nearest medical facility. Once stabilized, the employee should contact the Company Nurse (phone number below) to report the injury. Company Nurse will direct the initial medical care received by the employee.

2) If the injury is not life-threatening, the employee should first contact their supervisor to report the injury. The employee should then immediately contact the Company Nurse (phone number below) to report the injury. Company Nurse will then direct the initial medical care received by the employee.

3) The supervisor/location should complete the Form 122 to notify the District Office to report the injury and forward any requested documentation.

4) The District Office will file a worker's compensation claim with USBA Risk Management. An adjuster will be assigned to the claim, and the employee will be notified of the contact information of their adjuster. From this point, it is the responsibility of the employee to work closely with their adjuster throughout the course of the claim.

For more information, please contact Delene at the District Office (435) 835-2261.

Utah School Boards Risk Management Mutual Insurance Association
860 East 9085 South
Sandy, UT 84094
(801) 569-3632

Company Nurse
(888) 375-0279

        pdf Form 122 First Report of Injury or Illness