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Workers' Compensation

Workers’ Compensation Procedures

All work-related accidents, injury or non-injury, must be reported to your immediate supervisor immediately.

If you have a Workers’ Compensation question, please reach out to our Compensation Coordinator at

Liberty Hill ISD provides Workers' Compensation benefits to employees who experience a work-related injury or occupational illness. Workers' Compensation may provide employees with up to 70% of their weekly income payments (known as Temporary Income Benefits), after a seven-day waiting period. All work-related incidents must be reported to the Supervisor immediately (even if you do not seek medical attention) and the necessary information below must be completed no later than 24 hours of the incident time/date.

Once you report an injury, you and your Supervisor must fill out the First Report of Injury & HIPPA form. Return the documentation to the Campus Nurse or Department Admin. Asst. no later than the next business day, so it can be emailed to the Human Resources Department.

If the incident is life-threatening, please call 911 and notify the immediate Supervisor. Once you are stabilized, please complete the necessary Workers' Compensation documentation below. 

Step 1:

  1. First Report of Injury & HIPPA form - (pdf)  - Complete this with your Supervisor within 24 hours of injury/incident and return it to the Campus Nurse or Department Administrative Assistant, who will email it to Human Resources. 
  2. Rights & Responsibilities - (English or Spanish) - Documents for your records only (no action required).

Step 2:

If medical assistance is needed for your on the job injury or occupational illness, you can use the following Workers Comp packet: 

  • Location List - Assistance for finding a location that accepts Workers’ Comp.
  • Prescription Card (English or Spanish).
  • Prescription Card FAQs (English or Spanish).
  • Claims Administrative Services Contact Information is Liberty Hill ISD's Workers' Compensation Insurance carrier. If you seek medical attention, a CAS Workers' Compensation Adjuster will contact you directly.
  • Leave Election Form (Non-Offset) - (English or Spanish) - Complete the 2nd page and select one of the three choices for your leave election. Leave the first page blank. 
  • Employee Workers’ Comp Checklist - (English or Spanish) to assist you with completing all steps in the Workers Comp process. 

If you have any questions or concerns, please contact Jennifer Daugherty, Compensation Coordinator at 512-260-5580 or email


If you would like to review the Liberty Hill Workers’ Comp Policy use the following links: DEC Local, DEC Legal, and CRE Legal policies, for more information. 

Workers Comp