Welcome to the Workers' Compensation section of Risk Management's Website. Included in this section are printed materials explaining Workers' Compensation. The materials explain how to file a claim if you are injured or contract an illness in the course of, and as a result of, your employment with the County. You will also find forms needed for reporting an injury.
What is Workers' Compensation?
Workers' Compensation coverage guarantees automatic benefits to employees injured on the job or who incur a job-related illness. Potential benefits include medical, temporary and permanent disability payments, and job displacement benefits. Immediate benefits are in the form of medical care. You may also be entitled to temporary disability payments if you have an accepted claim and if an authorized physician takes you off work for more than three days.
The County of Fresno is self-insured for its Workers' Compensation Program. The County contracts with a Third Party Administrator (TPA) to help administer the program for us.
Our current TPA is:
Acclamation Insurance Management Services (AIMS)
P.O. Box 269120
Sacramento, CA 95826
For questions regarding your claim, please contact AIMS and/or the claim examiner at (559) 227-9972.
As a county employee, if you have any questions regarding your Workers' Compensation claim, please read the Workers' Compensation Handbook and Frequently Asked Questions (FAQ) provided below. This may help answer questions you have. You may also secure a copy of this Handbook by contacting the Workers' Compensation Coordinator in your Department. You should also read "How To File A Workers' Compensation Claim". This document is included in the forms below.
It is important all steps are followed when filing a claim. If the reporting process is not complete, the County's Workers' Compensation Administrators cannot make decisions, approve extended medical treatment, or approve payment of benefits.
If you have questions regarding reporting a claim, please contact your supervisor, your Department's WC Coordinator, or Fresno County Risk Management, 600-1850.
The Claim Reporting Process
If you sustain a work related injury, immediately report the incident to your supervisor. If you require medical attention, your supervisor will provide you a packet of information. You must use the forms in the packet to appropriately report your claim.
You may complete the necessary forms on line, print them, and provide them immediately to your supervisor.
- Workers' Compensation Handbook for County Employees
- First Fill Prescription Form (Spanish)
- Medical Provider Network Pamphlet (Spanish)
Medical Provider Network Provider Directory*
- Disability Retirement Process
Bloodborne Pathogens and Tuberculosis Exposures
In the event of an exposure to blood or other potentially infectious material, the Communicable Disease Exposure Report shall be used to document the exposure. If the employee seeks medical treatment, the completed report shall be sent with the employee to the designated medical facility. See the form below for further instructions on completing the report.
To ensure that a work related injury or illness is being handled appropriately, the "Procedures for Supervisors" guide below will assist you in making sure that you have completed the correct steps. Keep in mind that regardless of whether the employee needs medical attention or not, you need to complete the Supervisors Investigation Report (see below). Complete recordation of the events helps you and your workers' compensation coordinator as they need this information to complete the Employers First Report of Occupational Injury Report (5020 form).
- Procedures for Supervisors
- Supervisor's Investigation Report
- Safety and Workers' Comp Coordinator List
- Accident Investigation Report for Inmate Workers
For Workers' Compensation Coordinators
Workers' Compensation Fraud
The Hotline provides County employees and citizens a way to report fraudulent workers compensation activity by County of Fresno government employees. Callers are not required to identify themselves.