Workers' Compensation
Risk Management - Workers' Comp - Staff
| Contact | Phone / Address | Position / Responsibility |
|---|---|---|
|
Vacant |
(562) 997-8231 |
Risk Management Insurance Coordinator |
|
Guadalupe Arrieta |
(562) 997-8272 |
Return to Work Specialist |
|
Phaloeuk Loeun |
(562) 997-8231 |
Risk Management Technician |
LBUSD Workers' Compensation Claims Administrator
TRISTAR Risk Management
P.O. Box 2805
Clinton, IA 52733
Phone: (562) 506-0300
Fax: (562) 981-0804
Documents
- Injury and Illness Prevention Program Manual
- Workers' Compensation Claim Form (DWC-1)
- Employers Report of Occupational Injury Form 5020
- Employee's Site Accident/Incident Report
- Occupational Injury Medical Service Order
- Supervisor's Report of Accident Investigation
- Approved W.C. Medical Facilities
- Employee Pre-Designated Physician Form
- Instructions for Reporting Your Occupational Injury or Illness and Filing a Workers' Compensation Claim
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Department Info
Department Address
1515 Hughes Way
Long Beach, CA 90810
Department Phone
(562) 997-8234
