Workers' Compensation Work Related Injuries

For Treatment…

• Issue authorization form for appropriate medical facility.
• Complete the Workers’ Compensation Claim Form (if treatment requested)
• Notify College ASM or other designated supervisor/manager.
• Report Injury to Workers’ Compensation Specialistimmediately.
• Complete Supervisor’s Review Form.

Questions?

Workers’ Compensation
(526) 985-2366

Memorial Occupational Medical Services

Monday – Friday 7:00 a.m. – 6:00 p.m.

3828 Schaufele Ave. Suite 200
Long Beach, CA 90808
(657) 241-9370

Los Alamitos Medical Center ER

Emergencies

Monday – Friday after 9:00 p.m.
Saturday after 5:00 p.m.
Sunday/Holiday Monday – Friday after 9:00 p.m.

3751 Katella Ave
Los Alamitos, CA 90720