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Fullerton Joint Union High School District

UNITING COMMUNITIES | ENGAGING MINDS | BUILDING FUTURES

Workers' Compensation

Use forms provided here, for employee injuries:

Declination Form

EE Form 8- Declination of Medical Treatment.pdf 173.17 KB (Last Modified on December 21, 2023)

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Injured Employee Workers Comp Packet (to be filled out by the employee)

Employee_Workers Comp Packet_Keenan_REVISED 11.2.23.pdf 1.7 MB (Last Modified on November 6, 2023)

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Supervisor Workers Comp Packet (to be filled out by employee's supervisor)

Supervisor_Workers Comp Packet_Keenan.pdf 174.18 KB (Last Modified on July 14, 2022)

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Healthpointe Authorization Form

Healthpointe_Authorization_Form.pdf 271.28 KB (Last Modified on March 26, 2021)

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Last Modified on December 21, 2023

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