MY FPM

Report an Injury or Illness

Cal-OSHA regulations require employers to report any work-related serious injuries or illness immediately, but no longer than 8 hours after the employer has been made aware. Serious injuries and illness are defined as any hospitalization for a period more than 24 hours for other than medical observance, loss of any member of the body or any serious degree of permanent disfigurement.

Submit
1. Managers Report of Incident Form
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Submit
2. Workers Compensation Claim Form
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Submit
3. Broadspire Disability Claims
  1. Please call 800-495-2315

Approved Medical Facilities

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Contact

Gary Pons, Chief Safety Officer of FPM

(213) 740-3069     (714) 519-4812     : gpons@usc.edu