North St. Paul-Maplewood-Oakdale ISD 622

SchoolDistrict 622

Worker’s Compensation Insurance Information for ISD 622

When a District employee is injured, the following forms must be completed by the employee:

WC- Accident Report Form

WC- Employer Info Form

The forms MUST be returned to the Human Resources office within 24 hours.  Please do not wait for your supervisor's signature to send to HR.  Employees should send to Human Resources using one of 2 options:
  1. Scan and e-mail the forms to Kayla Bellows at: 
  2. Fax the forms to 651/748-7448
Once you have sent the forms to Human Resources, please give the originals to your supervisor so he/she can sign and send to Human Resources. 
If you have any problems with these options contact Kayla Bellows at 651/748-7424 for assistance.

If you need to be seen please use the following Work Comp information to properly process the claim:
Workers Compensation Insurer: SFM Insurance

Bills can be directed to: SFM Companies

                                       PO Box 9416 
                                       Minneapolis, MN 55440
                                       Phone: (952) 838-4200 

If you are injured at work and need non-emergency medical treatment, the following clinics are preferred providers who specialize in occupational medicine.
NOTE: Employees are not limited to these clinics


ISD 622 Well@Work Clinic

      2520 East 12th Ave.
      N. Saint Paul, MN 55109
      Ph: (952) 967-6857

HealthPartners Occupational & Environmental Medicine Clinic

205 S Wabasha St

St. Paul, MN 55107

Ph (952) 883-6999

Minnesota Occupational Health

1661 St Anthony Ave

St. Paul, MN 55401

Ph (651) 968-5300

Fairview Occupational Medicine

4000 Central Ave NE

Columbia Heights, MN 55421

Ph (763) 572-5700

Stillwater Medical Group – Workwell Occupational Health

1500 Curve Crest Blvd

Stillwater, MN 55082

Ph (651) 439-1234

Fairview Occupational Medicine

6341 University Av NE

Fridley, MN 55432

Ph (763) 572-5700




Please contact Kayla Bellows in the Human Resources Department for more information: or (651)748-7424.

For information on the Department of Labor, please visit the website:
Department of Labor call (651) 296-2432.