Fifth Judicial District - Department of Correctional Services


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TITLE: Workers Compensation


The State of Iowa provides workers' compensation coverage to the employees of the Fifth Judicial District Department of Correctional Services who are injured or become ill as a result of their job duties. The Personnel Technician will assist employees in submitting claims for workers' compensation benefits and should be notified immediately in the case of any work-related injury or claim.

Iowa Code Section 85.27 establishes authority for the employer to direct medical care to treat work-related injuries.


  1. Any employee who sustains an injury/illness that arises out of and in the course of employment should immediately report the injury/illness to their immediate supervisor.
  2. The immediate supervisor should do the following:
    1. In life threatening cases such as heart attack, stroke, life threatening injuries or unknown situations, the situations should be handled in such a manner as to minimize risk to life without regard to potential workers' compensation status. Under such conditions no medical care should be denied and emergency 911 service or choice of care of the victim should be sought.
    2. Insure that the injured/ill employee completes a First Report of Injury Report within one (1) working day of the injury date. The work injury report can be completed by the immediate supervisor if the injured/ill staff member is unable to do so. This injury report should be sent immediately to the Personnel Technician. The Personnel Technician will send additional copies when needed to the area offices or facilities.
    3. If the injury/illness is of a non-emergency nature, but likely to result in lost time, the Personnel Technician should direct the employee to go to the closest authorized Network provider (see current list of Network Medical Providers) located within a 50 mile radius of where the injured employee works or resides (the 50 mile radius is a general rule of thumb). The Personnel Technician must call ahead and inform the Network provider of the injured employee's name, work location and nature of the injury.
    4. If traveling is not recommended due to the nature of the injury, or other circumstances exist that make using the nearest authorized Network provider unreasonable, the supervisor or designee, should call the Personnel Technician immediately and the Personnel Technician will call DAS for guidance.
    5. If the employee is not within a 50 mile radius of the closest authorized Network provider, the employee may use his/her own medical provider.
    6. For work-related injuries occurring outside of normal Network provider hours of business, emergency room services may be utilized as appropriate. A follow-up appointment must be scheduled with the Network provider at the next available opportunity. The Personnel Technician must be informed of any follow-up appointment at the earliest opportunity, if one is scheduled without her/his knowledge.


TO: Staff
FROM: Ronice Payne, Personnel
RE: Worker's Compensation

Please find attached a memo regarding Worker's Compensation from Fifth Judicial District Department of Correctional Services dated January 25, 2001. This memo applies to all staff. Please read and retain as your copy. Sign and date this form and return to me. Thank you.


To: All Employees

From: Fifth Judicial District Department of Correctional Services

Subject: Worker's Compensation

Date: January 25, 2001

When an employee is injured while at work, they are required to notify their supervisor and Personnel Technician. The Personnel Technician will assist the employee in completing a First Report of Injury Form. This Form is required to start a worker's compensation claim, and if it is not completed within 24 hours of the injury, a claim may be denied by the State.

If emergency medical attention is required, all employees are required to go to any emergency room that is closest in Des Moines for treatment. If the injury is not an emergency, the Personnel Technician will contact one of Concentra's two (2) occupational health clinics in Des Moines, 2100 Dixon or 11144 Aurora Ave. to schedule an appointment for the employee.

The following State rules also apply:

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