Human Capital / Workers' Compensation

Rochester City School District cares about your health and wellness. In the event of an injury, employees must complete a workers' comp injury report.

STEP 1:

Read the Workers' Comp Reporting Form Instructions

Workers Comp Reporting Form Instructions (English)

Instrucciones Para Empleados Del Distrito Sobre El Reporte De Lesiones O Enfermedades Ocupacionales

STEP 2:

Many of the District bargaining unit agreements also include unique provisions for assault claims. If you believe you have been assaulted pursuant to your union agreement, please fill out the following two forms as applicable. These should be submitted to your school administrator. If you believe the injury may be considered an assault, complete both the Employee Report of Assault and the WC Illness Injury Report. Please complete the Request for Assault Pay if applicable. The Employee Report of Assault and Request for Assault Pay should be submitted to your administrator for completion of the documents.

Please note that reporting an injury is time sensitive. According to New York state law, it is mandatory to inform your employer within 30 days of your accident regarding your injury, including a detailed description of how it occurred.

STEP 3:

Email completed form(s) to: workers.comp@rcsdk12.org

We strongly urge you not to delay and file your injury report as soon as possible.

Questions about Workers’ Compensation, please contact: workers.comp@rcsdk12.org

Human Capital