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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
P.O. Box 357
Merrill, WI 54452-0357
Phone: (800) 554-2642 (option 2)
email: claims@churchmutual.com
Employer Name: Roman Catholic Bishop of Santa Rosa
Policy Number:
0500054-07-06932 (This number is for year 2020 only.)
Please note the policy number changes with the year.
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