• You must report the injury in writing within 30 days of the incident. If you do not report it within
  30 days, you may not be eligible for workers compensation benefits or payments
•  In Georgia you cannot choose to see your own doctor. You must go to a doctor that the company
  designates. You may be able to choose a doctor from a panel of state approved doctors. You must
  talk to your case manager to obtain that information.
• The maximum weekly pay amount in GA is $800 per week.
•  Benefits are paid for up to 400 weeks.
• You are entitled to mileage reimbursement at the rate of 0.45 cents a mile. Ask your case manager
  how to get reimbursed.
•  Your SWA workers comp adjuster is: Noel Hill: noel.hill@wnco.com (404) 341-3723.
•  To find out more info on Georgia workers compensation regulations please visit:
  https://sbwc.georgia.gov/frequently-asked-questions/workers-compensation-law-faqs

*For additional assistance please contact “AC” Crawford at 214-640-4350

•  In Texas you can only see a doctor within the company’s network. You cannot choose your own
  doctor unless it is from the list of in network doctors. The treating physician must refer to all
  specialists. Ask your case manager for the list.
•  You will not become eligible for workers comp pay until after you have missed 8 consecutive
  days of work.
• Your workers comp benefit will end after 104 weeks of receiving the pay.
•  In Texas the minimum amount you can receive weekly is $176 and the maximum is $1,173.81 per
  week.
•  You can request mileage reimbursement for medical treatments more than 30 miles one way. The
  rate of pay is 65.5 cents per mile. If you would like to be reimbursed for your mileage request a
  mileage reimbursement claim form from your case manager.
•  You must report the injury in writing within 30 days of the incident. If you do not report it within
  30 days, you may not be eligible for workers compensation benefits or payments.
• Your SWA case manager is Amy Reeg: amy.reeg@wnco.com (214) 792-4834
•  To learn more about workers compensation in Texas please visit:
  https://www.tdi.texas.gov/wc/employee/index.html
•  Texas has a website and office you can use for free legal help with your specific claim. To learn
  more visit: https://www.oiec.texas.gov/index.html or you can call them at 800-252-7031, Option
  1

*For additional assistance please contact “AC” Crawford at 214-640-4350

• You can choose to see your own doctor if they take workers compensation. You must tell your
  case manager your doctor’s name and address so they can approve your visits.
•  You can claim mileage reimbursement. The rate is .655 cents per mile. If you would like to be
  reimbursed, please ask your case manager for a claim form.
•  For more information about workers compensation in Maryland, please visit:
  https://www.wcc.state.md.us/Gen_Info/FAQ_Employees.html
•  For information on Maryland workers compensation laws, please visit:
  https://www.wcc.state.md.us/gen_Info/wcc_benefits.html
•  If you miss more than 3 consecutive days from work due to your injury, you are entitled to wage
  replacement compensation per state law. The first 3 days missed are not paid out until you miss
  more than 14 consecutive days from work.
•  In MD the pay is calculated as 2/3 of the worker’s weekly wage. Maximum weekly pay: $1,402.
•  If you are interested in hiring a lawyer and you don’t have a recommendation for one call Lawyer
  Referral Information Services at (410) 539-3112.
•  Your SWA case manager is Dave Banta. dave.banta@wnco.com (214) 792-4832.

*For additional assistance please contact “AC” Crawford at 214-640-4350

• In Texas you can only see a doctor within the company’s network. You cannot choose your own doctor
unless it is from the list of in network doctors. The treating physician must refer to all specialists. Ask
your case manager for the list.
• You will not become eligible for workers comp pay until after you have missed 8 consecutive days of
work.
• Your workers comp benefit will end after 104 weeks of receiving the pay.
• In Texas the minimum amount you can receive weekly is $176 and the maximum is $1,173.81 per week.
• You can request mileage reimbursement for medical treatments more than 30 miles one way. The rate of
pay is 65.5 cents per mile. If you would like to be reimbursed for your mileage request a mileage
reimbursement claim form from your case manager.
• You must report the injury in writing within 30 days of the incident. If you do not report it within 30
days, you may not be eligible for workers compensation benefits or payments.
• Your SWA case manager is Amy Reeg: amy.reeg@wnco.com (214) 792-4834
• To learn more about workers compensation in Texas please visit:
https://www.tdi.texas.gov/wc/employee/index.html
• Texas has a website and office you can use for free legal help with your specific claim. To learn more
visit: https://www.oiec.texas.gov/index.html or you can call them at 800-252-7031, Option 1

*For additional assistance please contact “AC” Crawford at 214-640-4350

•  Per state law, you should report your injury in writing to the company within 10 days. If you
  haven’t done so within 10 days, you can still submit a claim in writing.
•  Must see a company approved doctor.
•  You are entitled to a one-time change of physician. This change must happen within 90 days of
  the date of injury. The new doctor must be another physician on the designated provider list. You
  must request the change in writing to your case manager. This is a one-time change and cannot be
  contested by the employer. If you wish to change again, you may ask in writing, but they can
  deny your request.
•  There is no minimum payment per week, but the maximum is $1,293.25 a week.
•  There is no temporary total disability payments the first 3 days you are pulled from work. After
  you are off work 14 days, they will go back and pay you for the first 3 days you missed.
•  You can be reimbursed for your mileage to/from doctors’ appointments at the rate of .59 cents per
  mile. Ask your case manager for more information.
•  You can reopen your previous claim 2 years from the last date of payment or 6 years from the
  date of injury. If you notified the company in writing.
•  For more information about workers compensation in Colorado please visit:
  https://cdle.colorado.gov/dwc/dwc-resources
•  Your SWA case manager is Julie Waldron: julie.waldron@wnco.com (214) 792-3389

*For additional assistance please contact “AC” Crawford at 214-640-4350

• In Texas you can only see a doctor within the company’s network. You cannot choose your own doctor
  unless it is from the list of in network doctors. The treating physician must refer to all specialists. Ask
  your case manager for the list.
  • You will not become eligible for workers comp pay until after you have missed 8 consecutive days of
  work.
  • Your workers comp benefit will end after 104 weeks of receiving the pay.
  • In Texas the minimum amount you can receive weekly is $176 and the maximum is $1,173.81 per week.
  • You can request mileage reimbursement for medical treatments more than 30 miles one way. The rate of
  pay is 65.5 cents per mile. If you would like to be reimbursed for your mileage request a mileage
  reimbursement claim form from your case manager.
  • You must report the injury in writing within 30 days of the incident. If you do not report it within 30
  days, you may not be eligible for workers compensation benefits or payments.
  • Your SWA case manager is Amy Reeg: amy.reeg@wnco.com (214) 792-4834
  • To learn more about workers compensation in Texas please visit:
  https://www.tdi.texas.gov/wc/employee/index.html
  • Texas has a website and office you can use for free legal help with your specific claim. To learn more
  visit: https://www.oiec.texas.gov/index.html or you can call them at 800-252-7031, Option 1

*For additional assistance please contact “AC” Crawford at 214-640-4350

• You must report the injury in writing within 7 days of the injury.
• You need to see the company doctor within 90 days of the injury date.
•  Must see a company approved doctor. You can choose a doctor from the Nevada Panel of doctors
  list.
•  The first 5 days the doctor keeps you out of work are unpaid. You will start receiving
  compensation on the 6 th day.
•  You may be eligible for mileage reimbursement and travel expenses. To qualify, you must drive
  20 or more miles one way to seek medical treatment. The mileage reimbursement rate is 62.5
  cents per mile. Talk to your case manager for more details.
•  Maximum temporary disability is $1,173.27 a week or $5,101.95 a month.
•  Your SWA case manager is Amy Reeg: amy.reeg@wnco.com (214) 792-4834
•  For more information about Nevada workers compensation please visit:
  https://dir.nv.gov/uploadedFiles/dirnvgov/content/WCS/InjuredWorkersDocs/6%20FAQ%20Injured%
  20Workers.pdf
  For free help/information about your workers compensation claim:
  Office of the Governor-Consumer Health Assistance

1-888-333-1597
https://dir.nv.gov/WCS/home/
For free legal help:
Nevada Attorney Office
Carson City: (775) 684-7555
Las Vegas: (702) 486-2830
http://naiw.nv.gov/​

*For additional assistance please contact “AC” Crawford at 214-640-4350

•  You can choose to see your own doctor in CA if you have pre-designated a physician of your
  choosing before you are injured.
•  Your pre-designation form must be on file with the base or Attendance and leave before your
  injury occurs.
•  You must report your injury to your employer in writing within 30 days of the date of injury. If
  you do not, you could lose your right to receive workers compensation benefits.
•  The temporary total disability state maximum weekly pay: $1,651.
•  You must be taken out of work for at least 3 consecutive days before receiving temporary total
  disability payments. Once you are out for 14 consecutive days you will then receive pay for the
  first 3 days.
•  You are entitled to mileage reimbursement. Your case manager can send you the mileage
  reimbursement form. They will reimburse you 65.5 cents per mile. You may also be reimbursed
  for parking and toll fees as well.
•  For more information about workers compensation in California please visit:
  https://www.dir.ca.gov/dwc/IandA.html
•  Your SWA case manager is Julie Waldron: julie.waldron@wnco.com (214) 792-3389
•  Click here to download the Predesignation of Personal Physician form.
•  https://media.twu556.org/2018/12/14200944/OAK-Predesignation-of-Personal-Physician-
  OAK.pdf
•  You can attend a workshop for injured workers or call the Information and Assistance Unit of CA
  Workers compensation. 800-736-7401​

*For additional assistance please contact “AC” Crawford at 214-640-4350

• You must report the injury in writing within 15 calendar days or you could be denied workers compensation.
• Per TN law, you can only be treated by a doctor within the company’s network of physicians.
• You can be reimbursed for mileage if you travel more than 15 miles one way for injury related appointments. You can be reimbursed at 65.5 cents per mile.
• You are not paid by workers compensation unless you are pulled from work for more than 7 days. If you are pulled from work more than 14 days, you will be paid for the first 7 days.
• The minimum pay per week is $179.10. The maximum pay per week is $1,313.40.
• TN offers free help with your workers’ compensation claim. Please call the state for help. 800-332-2667 or wc.info@tn.gov
• https://www.tn.gov/workforce/injuries-at-work/injured-workers.html

• You must see a doctor that is within the company’s network.

•  The workers comp pay in Florida is a maximum weekly pay: $1,197.

•  You will not be paid for the first 7 days of your injury until you are out for more than 21 days. Then you
  will receive the first 7 days pay.

•  You can receive wage replacement benefits for a maximum of 104 weeks in Florida.

• You can request mileage reimbursement for travel to/from medical treatments. The rate of pay is 44.5
  cents per mile. If you would like to be reimbursed for your mileage request a mileage reimbursement
  claim form from your case manager.

•  For more information about workers compensation in Florida please visit:
  https://www.myfloridacfo.com/Division/WC/pdf/WC-System-Guide.pdf

•  For specific questions about your claim and state laws for workers com please seek free help provided
  by the state. 1-800-342-1741 or email wceaoanswer@myflorida.com.

•  Your SWA case manager is Noel Hill: noel.hill@wnco.com (404) 341-3723.​

  *For additional assistance please contact “AC” Crawford at 214-640-435

• You must report the injury in writing to the company within 45 days of the injury date.
•  You can choose to see your own doctor in Illinois. The doctor of your choice must take workers
  compensation. Before seeing your own doctor for your injury give your case manager your
  doctor’s name and information.
•  Temporary total disability payments are governed by state law. Maximum weekly pay: $1,848.20.
• Temporary total disability payments don’t start until you have been kept off work by the doctor
  for 3 consecutive days. Once you have been out for 14 consecutive days, your case manager will
  go back and pay you for the first 3 days.
•  You can request mileage reimbursement for travel to/from medical treatments. The rate of pay is
  65.5 cents per mile. If you would like to be reimbursed for your mileage request a mileage
  reimbursement claim form from your case manager.
•  For more information about workers compensation in Illinois please visit:
  https://iwcc.illinois.gov/resources/resources-for-employees.html
•  Dave Banta is the SWA case manager for MDW. dave.banta@wnco.com (214) 792-4832​.

*For additional assistance please contact “AC” Crawford at 214-640-4350

• You can choose to see your own doctor in CA if you have pre-designated a physician of your choosing
  before you are injured.
•  Your pre-designation form must be on file with the base or Attendance and leave before your injury
  occurs.
• You must report your injury to your employer in writing within 30 days of the date of injury. If you do
  not, you could lose your right to receive workers compensation benefits.
• The temporary total disability state maximum weekly pay: $1,651.
• You must be taken out of work for at least 3 consecutive days before receiving temporary total disability
  payments. Once you are out for 14 consecutive days you will then receive pay for the first 3 days.
•  You are entitled to mileage reimbursement. Your case manager can send you the mileage reimbursement
  form. They will reimburse you 65.5 cents per mile. You may also be reimbursed for parking and toll fees
  as well.
• For more information about workers compensation in California please visit:
  https://www.dir.ca.gov/dwc/IandA.html
• Your SWA case manager is Julie Waldron: julie.waldron@wnco.com (214) 792-3389
• Click here to download the Predesignation of Personal Physician form. https://media.twu556.org/2018/12/14200944/OAK-Predesignation-of-Personal-Physician-OAK.pdf
• You can attend a workshop for injured workers or call the Information and Assistance Unit of CA
  Workers compensation. 800-736-7401​

*For additional assistance please contact “AC” Crawford at 214-640-4350

• Claims must be filed within 1 year of injury date.
•  You must see the company doctor first. After that initial visit you can choose a treating physician
  that accepts workers’ compensation claims. However, once you see the same doctor twice, that is
  your treating physician. Your case manager must approve any other physician changes.
•  The first 7 days you are off work due to injury are unpaid. If you are off work 14 days are more
  then you are paid for the first 7 days off work.
•  Maximum pay: $5,393.37 per month.
•  Mileage reimbursement is 62.5 cents per mile. Please contact your case manager for more
  information.
•  Arizona offers free help with your claim. The office of the Ombudsman is available to answer
  your questions. You can contact them at: 1-800-544-6488
•  Your SWA case manager is Amy Reeg: amy.reeg@wnco.com (214) 792-4834
•  For more information on workers compensation laws and regulations please visit: https://www.azica.gov/sites/default/files/migrated_pdf/Claims_InjuredWorkerHandbook_2016.pdf

*For additional assistance please contact “AC” Crawford at 214-640-4350