- Report the injury to your Building Administrator immediately, whether or not you require medical attention.
- Work with the Building Administrator to complete the First Report of Injury/Personnel Injury Report Form and ensure that the form is submitted to (1) the City’s Risk Management Department and (2) the Workers' Comp Insurance Company.
- If needed, seek treatment at an approved First Treatment Center or the nearest Emergency Room (for true medical emergencies).
- AFC Urgent Care - Stamford
3000 Summer St. Stamford CT 06905
(203) 969-2000 - Yale New Haven Health Occupational Medicine and Wellness Services
260 Long Ridge Road, Suite 2140, Stamford, CT 06902
(203) 863-3483
- AFC Urgent Care - Stamford
- If you need to be absent from work because of your injury at work (i.e. you have a medical note putting you out of work), report the absence to Aesop using the “Workers Comp - Unaut” code.
- If the absence is approved, it will be changed to “Workers Comp-Auth” by HR
-
If the absence is not approved, it will be changed to use your accrued Personal Illness days.
Please also be aware of the following:
- You must treat with providers who are in the Workers Comp Insurance Network. If you have any questions whether a provider is in the Workers Comp Insurance Network, please refer to the Workers’ Compensation Medical Care Plan.
- If you treat with a provider who is not in the Workers Comp Insurance Network, the treatment will be denied.
Stamford Public Schools Workers Comp Insurance Provider is:
PMA Companies
Mail Correspondence to: P.O. Box 5231, Janesville, WI 53547-5231
Contact: Jill Moulton, Account Claims Rep.
jill_moulton@pmagroup.com
Phone: (888) 476-2669
Fax: (203) 679-3894
District Contacts for Workers Comp:
David Villalva, Risk Manager, (203) 977-4083
Matt Stuhlman, Safety Officer, (203) 977-4908