Workplace Injury or Illness Is Medical Treatment Required? NO USE FIRST AID Notify supervisor to report injury Fill out Incident Reporting Form Print and fax to EHS at (870) 972-3584 YES SERIOUS OR LIFE-THREATENING? NO YES Transport employee to closest ER by ambulance or State vehicle Stay with employee until family arrives Supervisor must call the Company Nurse Injury Hotline at 1-855-339-1893 to report injury Employee and supervisor must come by EHS to review and sign WC forms within 48 hours Deliver all additional paperwork to EHS Prescriptions are to be filled using prescription form Refills are at the discretion of the attending physician Prescription cost will be billed directly to A-State Notify supervisor to report injury Supervisor must call the Company Nurse Injury Hotline at 1-855-339-1893 to report injury The Company Nurse Injury Hotline representative will direct medical care Employee should be accompanied and transported to medical facility by State vehicle Employee and supervisor must come by EHS to review and sign WC forms within 48 hours Deliver all additional paperwork to EHS Prescriptions are to be filled using prescription form Refills are at the discretion of the attending physician Prescription cost will be billed directly to A-State ?