Worker's Compensation
Workers’ Compensation Procedures

Important:
Do not file work related injuries on your group medical or prescription plans. File only with the Workers’ Compensation Carrier.
If you are injured while at work:
- Report your injury to your supervisor immediately
- See campus nurse for evaluation if possible
- Complete injury forms and return to the Leave Specialist in a timely manner
- Visit Network Physician as necessary
- Search for Network Urgent Care Locations
- Notify supervisor, Leave Specialist and benefits department of work status
Forms to be completed:
Complete and Return to the Leave Specialist
- Employee Acknowledgment of Workers’ Compensation Network form
- Employee Choice to Use Paid Leave form
- Accident Investigation Form
Employee Keeps
- Workers' Compensation Temporary Income Benefits and your Waller ISD Pay document
- Workers’ Compensation Information document
- Workers' Compensation Verification of Coverage document
- WorkWell, TX Network Clinics/Physicians near Waller document
Leave Specialist
Esther Judy Salinas
Phone: 936-372-4064
Fax: 936-931-0396
Workers’ Compensation Carrier
Texas Mutual: 1-800-859-5995
Pharmacy Info: Optum
Pharmacy Phone: 1-888-220-2805
Pharmacy Info: Optum
Pharmacy Phone: 1-888-220-2805
Office Hours
Monday-Thursday
7:30 a.m. - 4:00 p.m.
Friday
7:30 a.m. - 3:30 p.m.
