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
Toll Free: (888) 615-4766
Fax: (707) 935-8826
E-Mail: iwadrvick@sbcglobal.net
3. Ms. Audrey Kurzner, Case Nurse
USA Integrated Health
Fax: (775) 667-7842
Phone: (800) 223-2681
E-Mail: akurzner@usaih.com
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