Worker’s Compensation

Accident Reporting Procedures

First Report of Injury form 2017

Step-by-step directions on how to save a copy of your Injury Form

Accident Reporting for Food Services, Custodial, Transportation, Facilities/Grounds

Accident Reporting for Certified Staff, Aides and Office Personnel

Accident Investigation Form

Building Contact Information for Workers Compensation Injuries

Reporting Procedures and Approved Clinics

If you are injured while on the job, you need to immediately do the following:

  1. Report the incident to your supervisor.
  2. Fill-out a FIRST REPORT OF EMPLOYEE INJURY/ILLNESS form, no matter how significant or insignificant you may believe the injury to be. Your supervisor will provide you with a copy of this form and can assist you in its completion.
  3. All employees of Perry Township Schools who sustain an injury requiring basic medical attention, need to see a physician at one of the following locations: (Please do not go to your Family Physician – your personal health insurance will not cover an injury sustained at work; and Worker’s Compensation will not cover initial medical expenses incurred at a location other than those listed below.)


Hours: 7:00 a.m.-7:00 p.m.
Franciscan Working Well (Formerly St. Francis)
747 E. County Line Rd.
Greenwood, Indiana
West of Emerson Ave.
Phone: 528-8009
This facility should be used for daytime needs.


Hours: 7:00 p.m.-11:00 p.m.
Greenwood Immediate Care
(Formerly Immediate Care Center)
1001 North Madison Ave.
Greenwood, Indiana
Near Greenwood Mall
Phone: 888-3508
This facility is for night time use only.

NOTE: If an injury is Serious or Life Threatening, an ambulance should be called or transportation provided to the closest emergency room. However, less threatening incidents need to follow the above mentioned guidelines. Failure to do so can nullify our Worker’s Compensation coverage. (2015-2016)