To report a work related injury contact your supervisor immediately.  Your supervisor will work with you to obtain appropriate medical care and in submitting the required documentation.  

If you have an active Workers' Compensation claim and have questions, please contact our Workers' Comp administrator, AdminSure, at 909-861-0816.

• DWC Form (1 of 3)
• Authorization to Disclose Information (2 of 3)
• Supervisor Report (3 of 3)
• Occupational Medical Provider Locations and Authorization For Treatment Form
• Emergency Room and Urgent Care Authorization for Treatment Form

• Asbestos Awareness Program
• Fire Prevention Plan 
• Injury and Illness Prevention Program (IIPP)
• Heat Illness Prevention Plan
• Lockout/Tagout Procedure
• Prevention of Repetitive Motion Injury 
• Blood Borne Pathogen Exposure Control Plan
• Hearing Conservation Program
• Hazard Communication Program
• Respiratory Protection Program 
• Return To Work Modified Duty
• PPE Request Form
• Workplace Safety Inspection Request Form

• Bloodborne Pathogens
• Heat Illness
• Housekeeping
• Personal Protective Equipment
• Safety Talks - Sign-in Sheet
• Safety Talks - Walking-Working Surfaces

If you are feeling ill, you are advised to stay home and call your healthcare provider before going to Urgent Care or the Emergency Room.

For symptoms and ways to reduce your risk of exposure to COVID-19, visit our Coronavirus (COVID-19) Safety page. 

• COVID-19 Safety Guide
• COVID-19 Risk Assessment Link
• COVID-19 Certification for Leave