FISD Workers’ Compensation

Benefits Coordinator: Tara Langston
[email protected]
Phone: 281-482- 1267
Fax: 281-996- 2606

Injuries on school premises are covered under Worker’s Compensation. Injuries must be reported to the school nurse or campus contact as soon as they occur and a First Report of Injury must be completed. To file a First Report of Injury (FROI) go to www.tasbrmf.org
Worker’s Compensation is covered by a different insurance company than the district’s health insurance plan.
If an employee is going to be treated for their injury they must go to a clinic in the Alliance.


Forms:

Verification of Employment
Send with employee to clinic

Optum Prescription Card
Send with employee to clinic

Election of Leave Benefits
Election of Leave Benefits (Spanish)
Return to Tara Langston – Benefits Coordinator

Employee Acknowledgement of Alliance
Employee Acknowledgement of Alliance (Spanish)
Return to Tara Langston, FISD Benefits Coordinator

Employee Notice of Alliance
Give a copy to the injured employee

• Notice of Injured Employee Rights
Notice of Injured Employee Rights (Spanish)
Give a copy to the injured employee