Report an injury: If an injury is serious or life threatening, call 911 immediately.
To start a claim and receive assistance with non-serious and non-life threatening injuries
contact the Nurse Hot Line –Medcor (844) 322-4662
within 24 hours of the incident or as soon as you are made aware of it, even if it is after the 24 hour period.
- Workers’ Compensation Quick Reference Guide
- Church Mutual Nurse Hotline powered by Medcore
- Nurse Hotline Frequently Asked Questions (FAQ’s)
- Workers’ Compensation Claim Forms: DWC 1 and 5020
- Prescription Drug Card for Injured Worker
References:
- Diocesan “Location Codes”
- Workers’ Compensation Information and Assistance Offices
-
Notice to Emplyee Poster (DWC 7)
Note: The above form must be posted where employees can read it.
Insurance Carrier: Church Mutual Insurance Company
Employer Name: Roman Catholic Bishop of Santa Rosa
Policy Number: 0500054-07-06932 (This number is for year 2020 only.)
Policy Number: 0500054-07-06932 (This number is for year 2020 only.)
Please note the policy number changes with the year.