Berwyn South School District 100

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Employee Accident/Injury Reporting


If you are injured in the workplace, contact your immediate supervisor.  If your immediate supervisor is not available, contact the nearest person and seek medical attention if needed.

Fill out the documentation found below. Please attach any photos of the injured body part(s) and the area where the accident/injury occurred. 

A claim will be processed and you will be contacted by Workman’s Compensation as soon as a claim number is dispensed.  Your packet must be completely filled out and returned to Maureen Harnett as soon as possible.  You can reach her at 708-303-4013 or

The Accident/Injury packet is not considered a Workman’s Compensation Claim until it is approved by a Workman’s Compensation claim adjuster. 


If you need time off of work, please make sure that you enter your days into Aesop as sick days. If your claim is accepted as Workman’s Compensation Claim, your sick days will be reinstated per your Collective Bargaining Agreement.