Workers Compensation                                                                             For ESI Employees Only

Mesa Public Schools is self-insured for Workers' Compensation.                                                          Click here for ESI Injury Procedures & Form
Our liability for treatment is governed by the provisions and limitations of                                        
the Industrial 
Commission of Arizona (ICA)                       

Employees are required to report an accident and any injuries to their immediate supervisor 
who will complete a "Supervisor's Report of Industrial Injury" form within 24 hours of the injury. 

A "Supervisor's Report of Industrial Injury" form will be completed for every injury whether 
or not medical treatment is necessary                                                                                                                  

                                                                                                                                                                        **For Principals, Directors & Supervisors
                                                                                                                                                                            Click here for Quick Facts/Information

 The immediate administrator/supervisor will:

1. Determine extent and nature of injury. Apply first aid as required. 
    (Know which members of your work force have first aid training) 
    Seek first aid from the nearest school nurse if necessary.

2. If injury requires medical care outside of school nurse, call Concentra Val Vista  480-545-1398  or  
    Concentra Mesa  480-644-7900 for direction

    After hours, you can receive care 24 hours a day, 7 days a week,
    365 days a year at Concentra Airport (exit 148 I-10 west side of 
    Concentra Airport address is 1818 E. Sky Harbor Circle, Phoenix, AZ 85034
    (602) 244-9500.

3. If injury requires doctor treatment have injured employee accompanied to Concentra
    Medical Center if shock is apparent or if not in condition to drive alone.

4. Give yellow Treatment Authorization Form to the injured employee to take to Concentra


TREATMENT LOCATIONS-  Occupational health provider (2 locations):

Concentra Medical Center- Val Vista
1959 South Val Vista Road, Suite 106
Mesa, Arizona 85204
Hours of Operation: 8 AM - 5 PM, Monday -Friday 480.545.1398

Concentra Medial Center- Mesa
1710 W. Southern Ave.
Mesa, Arizona 85202
Hours of Operation: 8 AM- 6 PM,
Monday- Friday, 8 AM- Noon 480.644.7900 

24 Hours/7 Days a week/ 365 Days a Year
Airport Concentra 602.244.9500

Exit 148, I-10 West Side of Freeway
1818 E. Sky Harbor Cir, Phx AZ 85034



York Risk Services Group
Billing Address:
PO Box 619079
Roseville, CA 95661 

Phone: 480.606.5583 - Denise Cook (Adjuster)

Fax: 480.606.5599

District Contact Information:
For information or for questions on a specific
workers' compensation claim, call 480.472.0366