Accident Reporting Procedure

Directions

Please email or fax the first report of injury forms to the following parties for all workplace injuries other than first-aid cases.

Contact Information

1. Insurance Carrier, Claims Adjuster

2. Mr. Gene Vick, Program Administrator
Fax: (707) 935-8826
Telephone: (888) 615-4766
E-Mail: iwadrvick@sbcglobal.net

3. Ms. Audrey Kurzner, Case Nurse
USA Integrated Health
Fax: (775) 667-7842
Telephone: (800) 223-2681
Cellular: (954) 684-5343
E-Mail: akurzner@usaih.com