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District of Columbia

When an employee is injured on the job, proceed with the following:

  1. Complete the First Report of Injury, providing details of the accident and injury.
  2. Complete the Wage Statement, providing Benchmark Administrators with payroll records, including documenting 52 weeks of the injured worker’s salary history. If 52 weeks are not available, provide payroll records for the time period the injured worker was employed.
  3. If you are a drug free work place, post-accident drug testing must be completed in accordance with your drug-free workplace policy procedure.
  4. Contact a preferred urgent care facility by telephone prior to sending the injured worker. Inform the urgent care you have an injured worker coming and that Benchmark Administrators is the claims administrator.
  5. Advise the injured worker to return to your office or job site after receiving medical care and provide the doctor’s signed return-to-work slip or documentation of medical disability. Please forward the return-to-work/disability slip from the doctor to Benchmark Administrators as soon as possible.

If a worker is seriously injured and needs immediate care or is transported by ambulance, the employer should have a co-worker or supervisor go with the injured worker to assist with any insurance-related information the medical provider may require.

Required State Forms

Employer's First Report of Injury

Medical Providers

Correspondence and Medical Billing:

Benchmark Administrators
P.O. Box 940097
Maitland, FL 32794
Toll Free: (800) 362-5198

Customer Service Representatives are on call 24 hours per day to assist you. Please have the injured worker’s information available as well as the accident description.