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Worker's Compensation Information
Worker's Compensation Information
Contact
Rhonda Baker, Accountant for Workers' Compensation
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Ph: (304) 822-3528, x-135
Fx: (304) 822-3540
Hours
8:30 am - 4:30 pm
Monday - Friday
Updated
West Virginia Workers' Compensation Employee's and Physician's Report of Injury for Brickstreet
Unusual Incident/Accident Report Form - Employee
(PDF version) - NEW - July 2017
(An incident report must be submitted to the Finance Office by the end of the SAME DAY on which the incident occurred.)
Election of Option Form for Workers' Comp
- must be completed within 3 days of a job related injury causing absence.
West Virginia - Offices of the Insurance Commissioner - Workers' Compensation
Hampshire County Schools
111 School Street
Romney, WV 26757
Jeffrey Pancione
Superintendent
Phone: (304) 822-3528
Fax: (304) 822-3540
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