Alliance of Schools for Cooperative Insurance Programs

ascip

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  • COVID-19
    • Reopening Schools Planner
  • About
    • Calendar
    • Financial Strength
    • Governance
    • Members
    • News & Updates
    • FAQ’s
  • Insurance for Schools
    • Coverages
    • Property & Liability
    • Workers’ Compensation
    • Health Benefits
    • OCIP – Construction Insurance for Schools
    • Request A Quote
  • Risk Services
    • Member Shared Resources
    • Risk Management Prevention Services
    • Guidelines & Best Practices
    • Sample Agreements & Forms
    • Abuse Prevention Resources
    • Special Education Resources
    • Risk Alerts & Bulletins
    • Lessons Learned – Sharing Experiences
    • Safety Spotlight Resources
    • Additional Resources and Forms
    • FAQs
  • Training
    • 2021 Annual Membership Meeting
    • Online Training
    • Seminars & Webinars
    • Resources
  • Forms & Tools
  • Contact

Workers' Compensation

Home > Insurance for Schools > Workers’ Compensation > Forms and Resources
  • Coverages
  • Property & Liability
    • Request a Quote
    • Optional Coverage
    • Reporting Claims
    • Forms and Resources
    • FAQs
  • Workers’ Compensation
    • Request a Quote
    • Forms and Resources
    • Viewing and Reporting Claims
    • FAQs
  • Health Benefits
    • Request Health Benefits Quote
    • Request Health Fair
    • Affordable Care Act Resources
    • Forms and Resources
  • OCIP – Construction Insurance for Schools
    • Request OCIP Information
  • Request A Quote

Forms and Resources

Downloadable Forms
  • 5020 - Employer's Report of Injury - York
  • 5020 - Employer's Report of Injury - Athens
  • DWC-1 - Claim Form - York
  • DWC-1 - Claim Form - Athens
  • Wellcomp MPN Pamphlet - English - York
  • Wellcomp MPN Pamphlet - Spanish - York
  • Athens-ASCIP MPN Pamphlet - Athens
  • Wage Statement - York
  • Wage Statement - Athens
  • Time of Hire Pamphlet
  • Employee Death Form
  • Supervisor's Investigation Form
  • Posting Notice - York
  • Posting Notice - Athens
  • Injury Report Only - No Treatment
  • Declination of Medical Treatment
Resources
  • Schools Workers' Compensation Guidebook by Laughlin, Falbo, Levy & Moresi LLP
  • WC Leave Flow Chart for Schools
Links
  • California DWC
  • California Legislative Information
  • WellCOMP
  • Athens-ASCIP MPN
  • York Risk Services Group
  • Athens Administrators

Contact Info

Main Office/Southern California Claims Handling:
16550 Bloomfield Avenue
Cerritos, CA 90703

Northern California Claims Handling:
1531 "I" Street, Suite 100
Sacramento, CA 95814

Email: ascip_info@ascip.org
Phone: (562) 404-8029
Fax: (562) 404-8038
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