Section 11.000
Policies and Procedures Manual
Human Resources Department

11.000 WORKERS' COMPENSATION

A. Trial Court employees are covered by the provisions of the Workers' Compensation Act,
G.L. c. 152.

B. An employee who has been involved in an accident which may be work related or who has suffered an injury or illness which may be work related is responsible for notifying his or her department head or designated Workers' Compensation Agent.

C. Upon learning from any source of a work related accident, injury or illness, the department head or the designated Workers' Compensation Agent is responsible for completing and forwarding the necessary forms to the Workers' Compensation Section of the Human Resources Division of the Executive Office for Administration and Finance (HRD/WC), including completing and forwarding within 48 hours, the Notice of Injury Report and Internal Claims Investigation form. Copies of all forms forwarded to HRD/WC must also be sent to the Legal Department of the Administrative Office of the Trial Court. The department head or the designated Workers' Compensation Agent is also responsible for notifying the Administrative Office of the Trial Court when an employee returns to work.

Questions regarding Workers' Compensation should be directed to the local Workers' Compensation Agent or to the Administrative Office of the Trial Court.

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