As an employee of Littleton Public Schools, you have certain responsibilities under the Colorado Workers’ Compensation Act in the event you sustain a work related injury or illness. You may access the entire Workers' Compensation Program Packet.
How to enter an Accident Report if you are the injured employee
How to enter an Accident Report if you are NOT the injured employee
Employer’s First Report of Injury form
- Report all work-related injuries or illness to your supervisor or building secretary immediately
- They will provide you with a copy of the Workers’ Compensation Program packet
- If medical treatment is required, complete the Designated Provider Medical Treatment Authorization form on page 5 of this packet and ask your supervisor, school secretary or a Human Resources representative to sign the form.
- Take the Medical Treatment Authorization form with you and give it to the designated provider’s office staff when you check-in for your first appointment.
Employee Statement of Injury Report in Public School Works
- Under the Colorado Workers’ Compensation Act, if you are injured on the job, written notice must be given to your employer within four (4) working days after the accident, pursuant to section 8-43-102 (1)(a). If the injury results from your use of alcohol or controlled substances, your workers’ compensation disability benefits may be reduced by one- half in accordance with section 8-42-112.5. Failure to provide this notice can result in reduction of benefits (up to one day for each day not reported) payable under the Workers’ Compensation Act.
- For assistance entering the accident/exposure incident report in Public Schools Works, please contact the school secretary or Lorie Fix, Benefits Technician, Human Resources at 303-347-3371 or lfix[at]lps.k12.co[dot]us. Step-by-step instructions are also available on Inside LPS. Login to Inside LPS, click on Human Resources, click on Forms, and click on Workers ’ Compensation.
Designated Provider Medical Treatment Authorization form
- The physician will provide you with a copy of the treatment form, which will contain the physician’s diagnosis, a release to return to work, any work restrictions, follow-up appointment dates, or time off work requirements. You must return a copy of the doctor’s report to your supervisor after each doctor’s visit. It is your duty and responsibility to keep your supervisor advised of your medical updates and return to work status.
Report Absences in LARS
- Report any absences to the Littleton Absence Reporting System (LARS) as required by Board Policy using the Reason Code 8 (workers’ compensation). All absences using LARS code 8 (workers’ compensation) must be authorized by a designated physician.
Designated Provider Appointments
- In order for workers’ compensation benefits to be paid, it is important to keep all medical provider appointments. If you are unable to keep an appointment, please contact the medical provider to reschedule. You may be billed for medical appointments for which you don’t show.
- All medical appointments should be scheduled outside of work hours. All employees are required to take a copy of all medical reports to their supervisor following treatment.
- If you have been authorized to miss work, when the designated physician releases you to return to work, immediately bring the medical report indicating the release to the Human Resources Department so your District payroll may be reinitiated. You will also be given a copy of the release to give to your supervisor and you must return to work at that time or, if your workday has ended, the next scheduled workday. Lost time benefits issued by workers’ compensation will stop as of the date of release.
Poster - Staff Accident Reporting (Spanish) 2016.pdf