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2009 Youth in Action AmeriCorps
Northern Arizona University
Workers Compensation

When a YiA AmeriCorps member is injured at the mentor site, while during service, they are covered under NAU’s Workers Compensation. 

The injury needs to be reported within 24 hours to the:

Early Reporting Claims Service at 1-800-837-8583

Once injury is reported (within 24 hours) the reporting form (download below) needs to be needs to be completed by the member or site and faxed to our office

Youth in Action fax line: 928-523-6395

The original form needs mailed to the office with the member’s signatures.

Workers Compensation Reporting Form 

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Northern Arizona University
, P.O. Box 6025, Flagstaff Arizona 86001
Social & Behavioral Science (SBS) West, Bldg. 70, rm. #6 (928) 523-2199
 ALL RIGHTS RESERVED
Updated on 8/4/2009

    
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