Workers' Compensation

Below is information about the Workers’ Compensation Program, including information about how to report an on-the job injury or illness.

Reporting A Claim

1. On-the-Job Injury/Illness Report
Click on the link above to complete an On-the-Job Injury/Illness Report. All accidents should be reported to Risk Management, regardless of severity, within 24 hours of injury or illness.

2. Email the completed form (step 1) as ENCRYPTED to Adan.Perez@jeffcotx.us;Briana.Schmidt@jeffcotx.us
3. Find a Workers' Comp provider in IMO network
4. Workers' Comp Precscription Service - RX Bridge

CAS Third Party Administrator 1-800-765-2412

If you need additional information or have a question about your claim, please contact our Workers’ Compensation Third Party Administrator adjustors:

Ramona Laymance - Medical Adjuster, ext 5731
Ramona.Laymance@cas-services.com

Tiffany Black - Lost Time Adjuster, ext 7074
Tiffany.Black@cas-services.com

Other Resources
IMO MED-SELECT NETWORK Employee Packet
Workers’ Compensation Policy
Infectious Disease Policy