WHEN AN EMPLOYEE REPORTS AN ON-THE-JOB INJURY, FOLLOW THE STEPS BELOW:

  1.  SEE FILING INSTRUCTIONS
  2.  COMPLETE EMPLOYER AUTHORIZATION FOR MEDICAL TREATMENT FORM
  3.  FOR NON-EMERGENT INJURIES – REFER EMPLOYEE TO AN APPROVED MEDICAL PROVIDER
  4.  COMPLETE A FIRST REPORT OF INJURY **MUST BE COMPLETED BY THE FUND MEMBER, IN FULL**
    A) ONLINE VIA MEMBER LOGIN
    -OR-
    B) PRINT AND E-MAIL TO [email protected]
    -OR- FAX TO 334-834-9293
  5. ANY QUESTIONS CALL CCM (24/7) AT 1-800-372-1801