Risk Management
Work-Related Injuries & Workers' Comp.
If you believe you sustained a work-related injury, you have the option of filing a workers’ compensation claim to receive medical treatment for your injury. To start the claim process, contact the InterAid Nurse Triage Hotline at 800-367-5020. After calling the hotline nurse, please make sure to complete the Employee Incident Report Electronic Form, which is available by clicking here. Additional information regarding the hotline nurse and the workers’ compensation process is located further below.
Report Only: If you do not wish to file a workers' compensation claim, then you are only required to complete the Employee Incident Report Electronic Form. Click here to access the form. Please make sure to complete this form as soon as possible.
You may also contact our office at (714) 558-5856 or RiskManagement@sausd.us for additional information.
lnterAID Nurse Triage Hotline
1 (800) 367-5020*
AVAILABLE 24 HOURS A DAY
Dial 911 if life or limb is threatened!
*This service is only for SAUSD employees. Independent Consultants or Contractors, such as Amergis or Maxim employees, must report the incident/injury to Risk Management AND contact their employer for additional information.
We are NO LONGER using the Company Nurse Hotline Vendor. Please make sure to call the InterAID Nurse Triage Hotline
Scroll further down for information on:
- Our Medical Provider Network (MPN)
- Pre-Designation of Personal Physician for a work-related injury
- Prescription Services for a work-related injury
- Medical Mileage Expense Form for a work-related injury
- All Forms, Documents, & Notices relating to Work-Related Injuries / Workers' Compensation Claims
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Our department contact information
Our Medical Provider Network (MPN)
Santa Ana Unified School District (SAUSD) has elected to provide you with the choice of a broad scope of medical services for work-related injuries and illnesses by implementing a Medical Provider Network (MPN), called InterMED Select MPN(ID: 3180). The InterMED Select MPN includes a mix of doctors specializing in work-related injuries and doctors with expertise in general areas of medicine.
You are automatically covered by the InterMed Select MPN if your date of injury or illness is on or after August 2006 and if you have not properly pre-designated a personal physician prior to your injury or illness. See further below for information on how to pre-designate a personal physician for a work-related injury. Please note, any treatment outside the MPN could be considered unauthorized and self-procured.
For additional information on the InterMed Select MPN, click here to download the MPN notice. Click here to download the Spanish MPN notice
Contact our office at (714) 558-5856 or RiskManagement@sausd.us for additional information.
Pre-Designation of Personal Physician for a work-related injury
You may be able to pre-designate your personal physician for the treatment of a potential future work-related injury. The requirements for a personal doctor to be considered a pre-designated physician are listed in the DWC Form 9783, which is available by clicking here.
Please be aware that the pre-designation form must be turned in PRIOR to a work-related injury. Also, you must first contact our office prior to seeing your pre-designated physician for a work-related injury in order for our department to verify if your pre-designated physician is still valid. After confirming that your pre-designated physician is valid, our department will issue a written authorization for treatment.
Contact our office at (714) 558-5856 or RiskManagement@sausd.us for additional information.
Prescription Services for a work-related injury
If you need a prescription filled for a work-related injury or illness, go to an Optum Tmesys® network pharmacy. Give the temporary Rx card to the pharmacist. The pharmacist will fill your prescription at low or no cost to you. This service is only available for employees that have already filed a workers' compensation claim for their work-related injury.
Click on the links below for additional information and for the temporary Rx card.
Contact our office at (714) 558-5856 or RiskManagement@sausd.us for additional information.
Medical Mileage Expense Form
If you have to travel to get treatment for your work injury, you are entitled to re-payment of your travel costs. The mileage rate typically varies per calendar year and is specified on the mileage form. Mileage for reasonable travel to the pharmacy, parking, bridge tolls, public transportation, and other travel-related costs are also included. Please note, your request for reimbursement of fees for parking, bridge tolls, and/or public transportation must include the original receipts.
For travel / trips during the calendar year of 2024, Click here to access the Medical Mileage Expense Form.
For travel / trips during the calendar year of 2025, Click here to access the Medical Mileage Expense Form.
For travel / trips during the calendar year of 2026, Click here to access the Medical Mileage Expense Form.
ontact our office at (714) 558-5856 or RiskManagement@sausd.us for additional information.
All Forms & Documents relating to Work-Related Injuries / Workers’ Compensation Claims
Click here to view all forms related to work-related injuries and workers' compensation claims.
Have Questions or Concerns? Contact us.
Risk Management Department
Office Hours: Monday-Friday, 7:30 a.m. to 5 p.m. (Closed on Holidays)
Main Line: (714) 558-5856
Fax: (714) 480-5320
Email: RiskManagement@sausd.us
Address: 1601 E. Chestnut Ave., Santa Ana, CA 92701