Workers' Compensation
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.
Benefits Coordinator:
Hope Coburn
hcoburn@fisdk12.net
Phone: 281-996-6605
Fax: 281-996- 2606
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 Benefits Coordinator
• Employee Acknowledgement of Alliance
• Employee Acknowledgement of Alliance (Spanish)
Return to 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
