Los Angeles Unified School District

Workers’ Comp


	Risk Mgmt Home Benefits Administration Workers' Comp Acts Of Violence When Injury Occurs Med Provider Network Anti Fraud IDM Home Absence Management FMLA Home Donations for Illness Stay/Return to Work Reasonable Accom. Liability Claims Restitution ERP Insurance Requirements Field Trips Special Events Civic Center Permits Prof. Srvcs Contracts Self-Insurance Requests Student Accident Ins. Fingerprinting Owner Controlled Insurance Program FAQ Workers' Comp Prop & Liability Claims Int. Disability Mgmt. Disability Retirement Site Map Publications Workers’ Comp Disability Management Property & Liability Ins & Risk Finance Newsletter Presentations

Contact:	Carmel Pasa
Office:	333 S Beaudry Ave 28th Floor LA, CA 90017
Phone:	(213) 241-3138
FAX:	(213) 241-8993
Email:	carmel.pasa@lausd.net

Workers' Compensation Publications

Workers' Compensation Reference Guide REF-1279

Act of Violence Bulletin 5047.0

Anti-Fraud Posters (English and Spanish)

Reporting Instructions

Employee Notice Regarding MPN

Transfer of Care

Continuity of Care

Kaiser On-the-Job Occupational Health Center Locations

Medical Provider Network Panel

LAUSD Workers' Compensation Injury Report Worksheet

Workers Compensation Claim Form

Medical Authorization Form

Salary Continuation Verification Form

Special Physical Injury/Alleged Act of Violence Report

Pre-designation of Physician Form

Injury/Accident Investigation Report

2010 Poster Memo