LONG BEACH UNIFIED SCHOOL DISTRICT

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Risk Management

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Workers' Compensation

Contact Information

1515 Hughes Way
Long Beach, CA 90810
(562) 997-8231

Workers' Compensation - Staff

Contact Position / Responsibility

John Aube
(562) 997-8235
Risk Management Insurance Coordinator

Guadalupe Arrieta
(562) 997-8272
Return to Work Specialist

Helena Jamadi
(562) 997-8231
Risk Management Technician

LBUSD Workers' Compensation Claims Administrator

TRISTAR Risk Management
P.O. Box 512028
Los Angeles, CA 90051-2028

Phone: (562) 506-0300
Fax: (562) 981-0804

Injury and Illness Prevention Program Manual
Workers' Compensation Claim Form (DWC-1)
Employers Report of Occupational Injury Form 5020
Employee's Site Accident/Incident Report
Occupational Injury Medical Service Order
Supervisor's Report of Accident Investigation
Approved W.C. Medical Facilities
W.C. Information Bulletin No. 08/09 - 001
(Instructions for Reporting Your Occupational Injury or Illness and Filing a Worker's Compensation Claim)
W.C. Information Bulletin No. 08/09 - 002
(Supervisor's Procedure For Investigating An Accident)
Employee Pre-Designated Physician Form

Long Beach Unified School District • 1515 Hughes Way, Long Beach CA 90810 • (562) 997-8000 • www.lbschools.net