Workers' Compensation and Eligibility
All DPS employees are covered under Workers' Compensation laws. If approved, payment is provided for medical expenses and partial income at no cost to you, if you are injured or contract an occupational disease in the course and scope of your job. Workers' Compensation claims are approved by our Workers' Compensation insurance carriers, Sedgwick or PMA Companies.
Reporting an Injury
Instructions for site-based Workers' Compensation Contact Person (Treasurer or Supervisor):
Print and provide to the injured employee the "Employee Statement Form"- Employee Statement Form
If the employee requires medical treatment, advise the employee of our approved Authorized Medical Treatment Facilities: Fastmed Urgent Care and Emerge Ortho
Print and provide the Authorization to Treat form for the injured employee to take with them to give to treating facility- FastMed Authorization or Emerge Ortho Authorization
Notify the Workers' Compensation Office of the injury as soon as possible and complete the "Accident Investigation Form"- Accident Investigation
Instructions for Injured Employee:
At the time of the accident, immediately report your injury to your supervisor and/or School Treasurer and complete the "Employee Statement Form"-Employee Statement Form
If medical treatment other than first aid is necessary, take the signed authorization form to either FastMed or Emerge Ortho- FastMed Authorization or Emerge Authorization
Provide your Supervisor, Treasurer and Workers' Compensation office your work status note with any restrictions as soon as possible.
Workers' Compensation FAQ
Contact
Workers' Compensation Analyst:
Estefania Kanyinda ext. 29408
Phone: 919-560-3701
Authorized Medical Treatment Facilities
FastMed Urgent Care (any location)
7010 NC-751
Durham, NC 27707
919-313-3900
Mon-Fri: 8am-8pm
Sat-Sun: 8am-4pm
Emerge Ortho Urgent Care
120 William Penn Plaza
Durham, NC 27704
984-279-3653
Mon-Sun: 9am-9pm