SDRMA is our claims administrator for the Workers’ Compensation Program. Workers' compensation claims should be reported via the Company Nurse 24/7/365 toll-free injury hotline at 1.877.518.6711, and all completed forms should be submitted to administration@cambriacsd.org.

In the event of a work-related injury or illness, employees should immediately report the injury to their supervisor and complete the required forms.

The employee must do the following within 24 hours of a work-related injury or illness:

1. Notify their supervisor immediately following work-related injury/illness.
2. Call the Company Nurse 24/7/365 toll-free injury hotline at 1.877.518.6711.
3. Complete the employee portion of the Workers' Compensation Form DWC 1 Form.
4. Return the completed form to their supervisor.
5. Contact administration@cambriacsd.org for an appointment with Med Stop in San Luis Obispo.

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

1. Notify administration@cambriacsd.org immediately following work-related injury/illness.
2. The General Manager will complete the employer portion of the Workers' Compensation Form DWC 1 Form.
3. Complete the Supervisor Incident Report Form.
4. Return all completed forms to administration@cambriacsd.org.

If a work-related injury or illness occurs and the injured employee has declined medical treatment, the employee and supervisor must follow the instructions below.

The employee must do the following within 24 hours of a work-related injury or illness:

1. Call the Company Nurse 24/7/365 toll-free injury hotline at 1.877.518.6711.
2. Complete the employee portion of the Workers' Compensation DWC 1 Form.
3. Complete the employee portion of the Declination of Medical Treatment Form (if the employee does not need or request medical treatment).
4. Complete the supervisor portion of the Declination of Medical Treatment Form.
5. Complete the employee portion of the Declination of Medical Treatment Incident Report Form (this form should be completed only if the employee does not need or request medical treatment).

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

1. Notify administration@cambriacsd.org  immediately following work-related injury/illness.
2. The General Manager will complete of the Declination of Medical Treatment Form.
3. The General Manager will complete of the Declination of Medical Treatment Incident Report Form.
4. The General Manager will complete of the Workers' Compensation Form DWC 1 Form.
5. Complete the Supervisor Incident Report Form.
6. Return all completed forms to administration@cambriacsd.org.

If a work-related injury or illness occurs and the injured employee has requested medical treatment, follow all instructions prior to medical treatment. 

The employee or their representative must do the following within 24 hours of a work-related injury or illness:

1. Call the Company Nurse 24/7/365 toll-free injury hotline at 1.877.518.6711.
2. Complete the employee portion of the Workers' Compensation Form DWC 1 Form.

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

1. Notify administration@cambriacsd.org immediately following work-related injury/illness.
2. The General Manager will complete of the Workers' Compensation Form DWC 1 Form.
3. Complete the Supervisor Incident Report Form.
4. Return all completed forms to administration@cambriacsd.org.

In the event of a work-related injury/illness and the injured employee has requested medical treatment, follow all instructions prior to medical treatment. 

The employee or their representative must do the following within 24 hours of a work-related injury or illness:

1. Call the Company Nurse 24/7/365 toll-free injury hotline at 1.877.518.6711.
2. Complete the employee portion of the Workers' Compensation Form DWC 1 Form.

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

1. Notify administration@cambriacsd.org immediately following work-related injury/illness.
2. The General Manager will complete of the Workers' Compensation Form DWC 1 Form.
3. Complete the Supervisor Incident Report Form.
4. Return all completed forms to administration@cambriacsd.org.

1. Workers' Compensation Form DWC 1 Form
2. Supervisor Incident Report Form
3. Declination of Medical Treatment Form
4. Declination of Medical Treatment Incident Report Form