Workers' Compensation
Workers' Compensation Forms
Did you want to predesignate a physician for work related injuries?
You have the right to predesignate a physician to attend to your work related injury. However, you must obtain your physician's signature of approval, on a designation form prior to seeking medical treatment. Just click on the link below to download the form.
When you have filled in your information, and your doctor has completed the authorization section, return the form to Human Resources - Attention: Noemi Alonzo. If you have any questions, please contact Human Resources at 831-645-1283.