Injury Report & Workers' Compensation
Workers Compensation Insurance
All employees are automatically covered by workers' compensation. Medical expenses and time loss benefits are paid for injuries incurred on the job with a doctor's authorization. The Northshore School district is a self-insured employer. Helmsman Management Services LLC serves as the District's Claims Administrator, and processes all claims. Make sure you report any on-the-job injuries to your school nurse or supervisor immediately, even if you are NOT going to seek professional medical care. For information and forms, please email Nidhie Mahajan at nmahajan@nsd.org or call her at 425-408-7612.
Employee Incident Check List
- Employee completes and signs the NSD Injury Report Form within 48 hours of accident/incident.
- Employee forwards form to supervisor for signature and returns completed NSD Injury Report Form to Nidhie Mahajan in Human Resources/Benefits.
- No further action needed if employee indicates "NO" for seeking medical attention.
- If employee indicates "YES" for seeking medical attention, give employee NSD Workers' Compensation Envelope and have them follow instructions on the front of the packet. The employee must fill out the Self Insured Claim Form and submit original to Human Resources/Benefits.
- If employee misses time from work due to the injury, the employee must complete the NSD Use of Leave Authorization Form and return it to Human Resources/Benefits.