Any person who, knowingly and with intent to injure, defraud or deceive any employer or employee, an insurance company, or self-insured program, files a statement of claim containing false or misleading information is guilty of a felony in the third degree and are therefore subject to penalties of up to $10,000 per violation(O.C.G.A. §34-9-18 and §34-9-19).
    1. Employees must report all work-related injuries to their supervisor immediately. The benefit could be delayed or denied, if the supervisor is not immediately notified.
    2. Notify Richmond County School System (RCSS) Workers' Compensation (WC) Division via email at workercomp@boe.richmond.k12.ga.us.  Provide the employee's name, employee's title, work location, and description of what happened.
    3. Required Forms listed below MUST BE FILLED OUT IN COMPLETION:
      • Employee Accident Report
      • WC Acknowledgement Form
      • Employer Notification of Treatment Form or NOVA Notification of Treatment Form
      • Medical Release Form
      • Obtain & Submit Supervisor's signature to Workers' Compensation Department
    4. If an employee needs to see a doctor, they must select one from the authorized 'Panel of Physicians' before receiving treatment. Employees are REQUIRED to:
      • Have an authorized school/department representative call and make the initial appointment
      • Take the 'Employer Notification for Treatment' form to the doctor's appointment. {Note: The doctor's office will not see you without the employment notification for treatment form}
      • Notify the WC Division via email of the appointment date and time
    5. When an employee goes to the doctor, be sure to note on the accident report which doctor was selected and the date and time of the appointment. The employee must take the 'Employer Notification of Treatment' form to the doctors' appointment. A copy should be kept at the employee's work location.
    6. Employees MUST obtain and provide to their supervisor a physician's statement regarding their return-to-work status.
    7. All reports and return-to-work status must be faxed to 706-826-4622; originals can be sent via RCSS pony mail
    Please note any time an employee is out of work & paid under Workers' Compensation, that time does not count towards your retirement time.
    Workers' Compensation Forms: