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.

• Workers’ Compensation Instructions• Full Workers’ Compensation Packet
Workers’ Compensation Alliance
clinics:

Twin Oaks Urgent Care
1111 S. Friendswood Dr. Suite 105
Friendswood, TX 77546
832-569- 4390

 WellNow Health/St. Elizabeth Urgent Care
676 F.M. 517 W
Dickinson, TX 77539
409-572- 2535

Affinity Immediate Care
3128 Hwy 35 South
Alvin, TX 77511
281-886- 8964

Calder Urgent Care
1108 Gulf Freeway Suite 230
League City, TX 77573
281-557- 4404

Concerta-Houston Hobby
8505 Gulf Freeway Suite F
Houston, TX 77017

713-944- 4442

Forms:

Verification of Employment
Send with employee to clinic

Optum Prescription Card
Send with employee to clinic

Election of Leave Benefits
Return to Tara Langston – Benefits Coordinator

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

Employee Notice of Alliance
Give a copy to the injured employee

Notice of Injured Employee Rights
Give a copy to the injured employee