Risk And Emergency Management

You and your supervisor need to complete the Supervisor’s Report of Industrial Injury Form (SRI).  Email the SRI within 4 hours to workerscomp@mohave.gov.  Notify Risk Management if the SRI will be delayed. All inpatient hospitalizations, amputations, loss of an eye, or a death must be reported to Risk Management immediately.

For an exposure to a bloodborne pathogen call Risk Management prior to seeking medical care. Also, the Supervisor’s Report of Industrial Injury Form (SRI) and the Report of Exposure Form will need to be completed. 

EMERGENCY INSTRUCTIONS (potential life or limb threatening injury/illness) – Call 911 or go to an ER.  

NON-EMERGENCY INSTRUCTIONS BELOW (Non-life or limb threatening injury)

1. Call TriageNow at 1-833-691-9021 for 24/7 advice from a medical professional on appropriate care and whether additional medical facility care is needed. If TriageNow recommends facility care, go to Step 2 below. Your Supervisor is still required to submit an SRI form to the Risk Department.
2. Go to one of the recommended facilities below or available Urgent Care/ER. Advise medical facility to bill Arizona Counties Insurance Pool (ACIP), 1905 West Washington Street, Suite 200, Phoenix, AZ 85009. 

1. Call Corvel at 1-800-685-2877 for 24/7 advice from a medical professional on appropriate care and whether additional medical facility care is needed. If Corvel recommends facility care, go to Step 2 below. Your Supervisor is still required to submit an SRI form to the Risk Department.
2. Go to one of the recommended facilities below or an available Urgent Care/ER.  Advise the medical facility to bill Corvel Corporation, PO Box 6966, Portland, OR  97228.

For your Workers Compensation claim to be submitted into the carrier and considered for coverage your supervisor must submit an SRI into the Risk Dept.

Updated 2/21/25