Employee Incident Reporting

Workers' Compensation Trust: Employee Incident Reporting

Your School District has opted to self-insure its workers’ compensation program so injured employees will receive the benefits available to them in an efficient and expedient manner. If you are injured on the job the WCT will manage your claim. As an employee of an ESD 113 WCT member school district, you are covered under the Washington State Industrial Safety and Health Act (RCW Chapter 49.17). This law specifically requires that you comply with all safety and health standards which apply to your actions on the job.

What to do if you are injured on the job:

1. Report the accident or injury to your supervisor, and complete an Employee Incident Report (EIR) form online at https://esd113.org/eir, or obtain a form from your supervisor or district designee to complete.

2. Not all injuries require medical treatment. IF you need to go to a medical provider call the WCT at: (360) 464-6880 to report the injury and get a claim number.

3. Tell your treating medical provider that your employer is self-insured. Ask them to fax or mail a Provider’s Initial Report (PIR) to WCT. Fax: 360-464-6907.

4. If you cannot return to your job your medical provider must certify all restricted duties and/or time off work.

Note: Washington State Law requires an injured worker see a Labor and Industries Medical Network approved provider for care a`er the ini9al office or emergency room visit.