Claims / Workers’ Compensation
The Risk Management Division handles all auto, general liability, and property claims for the County of Henrico and Henrico County Public Schools. Risk Management can be reached by phone at 804-501-5661 or by email at [email protected]
Lodestar Claims & Risk Services, Inc (formerly PMA Companies) is the third-party administrator for workers’ compensation for the County of Henrico and Henrico County Public Schools. Lodestar can be reached by phone at 866-886-6305 or by email at [email protected] or [email protected].
For additional assistance, contact Risk Management by phone at 804-501-5661 or by email at [email protected].
Forms
Privacy Notice: Information requested on these forms is necessary to process claims, to meet reporting requirements for state and federal laws, for insurance purposes, and/or for statistical reports. To the extent permitted by law, this information will be kept confidential by the County and its vendors.
Incident and Vehicle Accident Forms
Workers’ Compensation Forms & Resources
- Workers’ Compensation Reporting Flowchart
- PMA Care 24 Telephonic Reporting Poster
- Panel of Physicians Form for Workers’ Compensation
- Employee’s Report of Injury form for Workers’ Compensation
- Supervisor’s Investigation Report for Workers’ Compensation
- Workers’ Compensation Temporary Prescription ID Card (English)
- FMLA Eligibility Determination Request
Physical Capabilities Forms
- Physical Capabilities Form
- Police Fitness for Duty Verification Form (Police Only)
- Fire Physical Capabilities Form (Fire Only)
- Fire MTT (Medical Transport Tech) Physical Capabilities Form ( Fire Only)
- Sheriff Physical Capabilities Form
Fatality, Hospitalization & Injury Reporting Requirements
The County is required to report an employee fatality, inpatient hospitalization, amputation, or the loss of an eye to the Department of Labor & Industry within a specified time frame. Please notify Emergency Management and Workplace Safety (EMWS) and Risk Management staff immediately upon knowledge of such an incident.
| Contact | Contact Person & Title | Phone |
|---|---|---|
| EMWS Primary | Rob Rowley, Chief of EMWS | 804-316-3563 |
| Risk Management Primary | Jeanetta Lee, Director of Risk Management | 804-382-4885 |
| EMWS Alternate | Craig Collins, Environmental Health & Safety Coordinator | 804-370-8362 |
| Risk Management Alternate | Jo Ann Adkins, Liability Claims Manager | 804-317-0452 |
Workers’ Compensation Claim & CARE24 Claim Reporting Feedback
The health and safety of our employees is a top priority. A key part of maintaining a safe workplace is ensuring that all injuries, no matter how minor, are reported promptly and accurately. To strengthen our processes, we are seeking feedback from both employees and supervisors on their experiences with injury reporting and overall claims processing.
Your input will help us:
- Identify any challenges or barriers to timely reporting.
- Improve communication and training related to injury procedures.
- Ensure that our reporting system is clear, effective and supportive of everyone.
This survey should take only a few minutes to complete. Responses will remain confidential and will be used solely to guide improvements in our program as well as address issues.
Thank you for your participation and commitment to safety and injury reporting.
Additional Information from the Virginia Workers’ Compensation Commission (VWC)
- The Virginia Workers’ Compensation Commission website offers resources and guidance to help injured workers understand their rights, navigate the claims process, and access the care and benefits needed for recovery and return to work.
- The Ombuds Department at the Virginia Workers’ Compensation Commission is a free, confidential resource to provide information and assistance to workers, employers and other parties who are not represented by a lawyer, and who need help understanding the workers’ compensation system.