Workers' Compensation

Edwards Risk Management

Our Workers' Compensation Third Party Administrator

Lead Claims Adjuster: Monica Flores monica@edwardsrisk.com

Edwards Claims Administration

1004 Marble Heights Drive

Marble Falls, TX 78654

Phone: 1-800-575-2657

FAX: 1-830-693-2729

http://www.edwardsrisk.com

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Texas Department of Insurance

https://www.tdi.texas.gov/wc/employee/index.html

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Packet of Forms

Employee Injury Report Form - English

To be completed by Employee and submitted to Campus Nurse or Supervisor if not located on a Campus

Employee Injury Report - English.pdf 417.24 KB (Last Modified on April 1, 2019)

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Employee Injury Report Form - Spanish

Employee Injury Report - Spanish.pdf 432.02 KB (Last Modified on April 1, 2019)

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Employee Rights and Responsibilities - English

To be given to injured employee with the Injury Report

Employee Rights and Responsibilities English.pdf 1.24 MB (Last Modified on April 1, 2019)

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Employee Rights and Responsibilities - Spanish

Employee Rights and Responsibilities Spanish.pdf 1.4 MB (Last Modified on April 1, 2019)

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Health Care Provider Injury Notification Form

Billing information to take to any provider or facility that accepts Workers Compensation

Health Care Provider Injury Notification Form.pdf 597.53 KB (Last Modified on April 11, 2019)

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Suggested Locations

Suggested Locations for Workers Compensation.pdf 284.43 KB (Last Modified on April 9, 2019)

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Key Information for Employees

Key Information For Employees.pdf 123.18 KB (Last Modified on April 9, 2019)

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Employee Voluntary Use of Leave Form (ECA-1)

ECA-1 Voluntary Use of Leave Form.pdf 139.07 KB (Last Modified on April 26, 2019)

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Sample Bona Fide Offer

Sample Bona fide Offer.pdf 81.27 KB (Last Modified on April 26, 2019)

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