Workers' Compensation

Workers' Compensation

Claim Forms

All of these forms are found in red packets available to you at your school site. See the Office Manager

Click on the blue titles below to get the electronic version of these forms:

           (Complete this form for all incidents)

           (Complete this form for all injuries requiring medical attention)

           (Give to authorized doctor's office, 1st visit)

            (List of authorized doctors for work related injuries)

                 (Prescription authorization for work related injuries)

Instructions: Download form(s) above, complete and submit to Myrna Wight in the Human Resources Department.

Please contact Myrna Wight with any questions at Myrna_Wight@pvusd.net or (831) 786.2100, ext 2960