Member owned and governed, CIS exists in true partnership with our members in resolving their workers’ compensation issues with a focus on “people first” and safe, early return to productive work.
Other services include:
Click here to complete an Accident/Incident Report Form. Workers should complete this form within 24 hrs of any work injury or accident. Supervisors should complete their section of this form within 24 hrs of receiving notice or knowledge of the work incident.
- Early medical treatment
- Return to work assistance
- Proactive case management
- Ergonomic evaluations
- Job safety analysis
- Coordination with CIS Benefits for covered workers
- Grant funds to supplement state funds for accommodations
Click here to file a Workers’ Compensation claim with an 801 form. By signing the 801 form, workers are filing a legal claim for Workers’ Compensation Benefits. Completion of this form should occur when the work accident/injury requires medical treatment or causes the worker to miss time from work.
NOTE: If a worker has a previously accepted Workers’ Compensation Claim and they would like to file an aggravation, they will need to contact their attending physician (MD, DO or Oral Surgeon) and complete form 827 for Notice of Claim for Aggravation. A new 801 form should not be completed for claim reopening.
Questions? Email firstname.lastname@example.org If you are interested in receiving a quote for CIS Workers’ Compensation coverage, contact your Agent of Record or Penny Marlette at email@example.com