Text Options

Link Options

[Skip to Content]
  • Infinite Campus
  • Virtual Backpack
  • Menus
  • Staff Directory
  • Departments
    • Departments Home
    • Business Services
      • Benefits
      • Finance
      • Leave Benefits
      • Payroll
      • Performance Measures
      • Property & Liability Insurance
      • Purchasing & Payment
      • Revenue & Receipts
        • Donations
        • Grants/Gift Acceptance
        • Non-Sufficient Funds
        • Raffle Information
      • Our Staff
      • Student Accident Insurance
      • Web Links & Related Info
      • Worker's Compensation
    • Facility Services
      • Facility Services Public Notifications
      • Energy Conservation Program
      • Facility Information
      • Help Desk
      • MSDS Online
      • Our Staff
      • Performance Measures
    • Human Resources
      • Annual In-Service
      • Base Wage Determination Meetings
      • Collective Bargaining Agreements
      • COVID
      • CPR & First Aid Certification
        • CPR/AED/First Aid Classes
      • Donation of Leave Bank
      • DPI Links
      • Employee Assessment System
      • Employee Assistance Program (EAP)
      • Employee Handbook
      • Employment
      • Family Medical Leave (FMLA)
      • Forms & Links
      • Lifetime Service Members
      • Performance Measures
      • School Year Calendars for Staff
      • Suicide Prevention
        • DPI Notice on Suicide Prevention
      • Wellness Program
        • BeFit Gym
        • Eupraxia Discount
        • FASTer Way to Fat Loss
    • Information & Technology
      • 1:1 Program
        • 1:1 Handbook: Chromebooks
        • 1:1 Handbook: iPads
        • Price Lists
        • Chromebook FAQs
      • Additional Resources
      • Goals & Measures
      • Help Desk
      • Our Staff
      • Policies and Guidelines
      • Print Shop
      • Sale of Retired Equipment
      • Substitute Account & Access Procedures
      • Technology Purchasing
      • Training and Professional Development
      • Technology Referendum April 2019
        • Newsletter
        • Questions & Answers
        • Referendum Brochure
        • Referendum Posters
        • Referendum Video 2019
        • School Tax Rate Information
      • Windows Update Policy Change
    • Instructional Services
      • Out of District Professional Development
      • Forms
      • Academic & Career Planning
      • Assessment Testing Information and Results
      • Curriculum & Standards
      • Grading Information
      • Educational Options and Accountability Report
      • Educator Effectiveness
      • Flexible Staff Development
        • 2024-2025 Flexible Staff Development Form
        • Flexible Staff Development Calendar
        • In-District Flex PD Opportunities
        • Out of District Flex PD Opportunities
        • Virtual Flex PD Opportunities
        • Presenter Proposal Form
      • National Board Certification
      • New Teacher Information
      • Mentor/Mentee Information
      • Professional Learning Communities
      • Response to Intervention (RtI)
        • RtI Overview
        • SDH RtI Resources
        • RtI Additional Resources
      • Title 1 Program
      • K-3 Early Literacy Plan
    • Nutritional Services
      • Why choose Holmen School Meals?
        • Staff Meals
      • Meal Programs & Prices
        • What Makes a Meal?
      • Computerized Cashier System
      • Meal Charge Policy
        • Meal Accounts - Check Balance & Deposits
      • Free & Reduced Information
      • Farm 2 School
        • Recipes
        • Apple Orchard
        • Winner Winner Chicken Dinner
      • Food Allergies
      • In the News
      • Menus
      • Our Staff
      • Performance Measures
    • Student Services
      • Non-Discrimination
      • Assistive Technology
      • Attendance
      • Student Enrollment
        • Open Enrollment
      • ESL
        • Program Model
        • ESL Resources for Educators
      • Health Services
        • Health Services Guidelines
        • Health Services Forms
        • Influenza (Flu)
        • Flu Information (respiratory)
        • Injury Reporting Form
        • Is it a Cold, Flu, or Pertussis?
        • Measles Information
        • Pertussis Information
        • Recommended Vaccines for Adolescents
        • Staff Information
        • Tick Removal
      • Homebound
      • Homeless Services
      • Our Staff
      • Positive Behavioral Interventions & Supports
      • Resources Staff
      • Seclusion & Restraint
      • Section 504
        • Cross Categorical Special Education
        • Occupational & Physical Therapy
        • Speech/Language Pathology
      • Special Education
      • Talented & Gifted
    • Transportation Services
      • Alternative Vehicle Drivers
      • Employment Opportunities
      • Facebook
      • Information
      • Our Staff
      • Performance Measure
      • Propane Buses
      • Safe Routes to School
      • School Bus Expectations & Safety Rules
      • Transportation Request & Forms
      • Useful Links
  • Home
  • District
    • District Welcome
    • District Facility Improvements
    • School Boundaries
    • Meet the District Administration
    • School Board of Education
      • Members
      • Annual Reports
      • Agendas & Minutes
      • Board Meeting Stream
      • Board Policies
      • Board of Education Elections
    • Departments
    • All Announcements
    • All Calendars
    • ESSER III LEA Plan
    • Organizational Chart
    • Strategic Plan
      • District Dashboard
    • Title IX
      • Title IX Training
    • VABBulous Vikings
    • Visions Newsletter
    • Portrait of a Graduate
  • Families
    • Parents Home
    • Annual Calendars
    • Annual Notices
    • BadgerCare
    • STOPit
    • Digital Citizenship
    • Dyslexia Guidebook
    • Family Literacy
    • Health Forms
    • Infinite Campus Parent App
      • Campus Parent Portal/App Detailed Information
      • Census Information Update
      • Help for Infinite Campus Parent Portal
      • How to Register
      • School Store
      • How to Add a Payment Method in Campus Portal
      • How to Add Money to Your Food Service Portal
      • How to Pay Fees/Add Lunch Money in Portal
      • How to View Summer School Registration Info
      • How to View Locker Information in Portal
      • How to Complete the Annual Update
    • Mental Health Resources
    • On-Site School Schedules
    • School Safety
    • School Supply Lists
    • School Year Calendar
    • Student Handbooks
    • Summer School
      • Summer School: Elementary
      • Summer School: HHS
    • Volunteer
    • Wisconsin DPI
    • Work Permits
    • 2024-2025 Health Guidelines
  • Activities & Athletics
  • Community
    • Area Colleges
    • Distribution of Materials
    • Friends of Education
    • Holmen Alumni
      • Holmen Viking Alumni Award
      • Previous Principals
    • Holmen Area Foundation
    • Online Facility Reservation
    • Sex Offender Form
    • Virtual Backpack
      • Pre-K & Elementary
      • Middle School
      • High School
    • Volunteer
School District of Holmen Home
  • Infinite Campus
  • Virtual Backpack
  • Menus
  • Staff Directory
  • District Open or Close Menu items for District
  • Note: Use the "ESC" key to escape this menu.
    • District Welcome
    • District Facility Improvements
    • School Boundaries
    • Meet the District Administration
    • School Board of Education
    • Departments
    • All Announcements
    • All Calendars
    • ESSER III LEA Plan
    • Organizational Chart
    • Strategic Plan
    • Title IX
    • VABBulous Vikings
    • Visions Newsletter
    • Portrait of a Graduate
  • Families Open or Close Menu items for Families
  • Note: Use the "ESC" key to escape this menu.
    • Parents Home
    • Annual Calendars
    • Annual Notices
    • BadgerCare
    • STOPit
    • Digital Citizenship
    • Dyslexia Guidebook
    • Family Literacy
    • Health Forms
    • Infinite Campus Parent App
    • Mental Health Resources
    • On-Site School Schedules
    • School Safety
    • School Supply Lists
    • School Year Calendar
    • Student Handbooks
    • Summer School
    • Volunteer
    • Wisconsin DPI
    • Work Permits
    • 2024-2025 Health Guidelines
  • Activities & Athletics Open or Close Menu items for Activities & Athletics
  • Note: Use the "ESC" key to escape this menu.
  • Community Open or Close Menu items for Community
  • Note: Use the "ESC" key to escape this menu.
    • Area Colleges
    • Distribution of Materials
    • Friends of Education
    • Holmen Alumni
    • Holmen Area Foundation
    • Online Facility Reservation
    • Sex Offender Form
    • Virtual Backpack
    • Volunteer

Translate Page

Use of arrow keys when focused on the Google language option field will translate site content on the fly. Use your enter key to review all options and choose your selection before applying.

Schools

  • Holmen High School
  • Holmen Middle School
  • Evergreen Elementary
  • Prairie View Elementary
  • Sand Lake Elementary
  • Viking Elementary
  • Holmen 4K & Early Childhood
  • School District of Holmen

Staff Links

  • Canvas
  • eduClimber
  • Employee Navigator
  • Facility Reservation
  • Frontline EE & Aesop
  • Infinite Campus for Staff
  • Maintenance Help Desk
  • Password Portal
  • Skyward
  • Technology Help Desk
  • More Staff Links

Departments

    • Departments Home
    • Business Services
      • Benefits
      • Finance
      • Leave Benefits
      • Payroll
      • Performance Measures
      • Property & Liability Insurance
      • Purchasing & Payment
      • Revenue & Receipts
      • Our Staff
      • Student Accident Insurance
      • Web Links & Related Info
      • Worker's Compensation
    • Facility Services
    • Human Resources
    • Information & Technology
    • Instructional Services
    • Nutritional Services
    • Student Services
    • Transportation Services

Departments

    • Departments Home
    • Business Services
      • Benefits
      • Finance
      • Leave Benefits
      • Payroll
      • Performance Measures
      • Property & Liability Insurance
      • Purchasing & Payment
      • Revenue & Receipts
      • Our Staff
      • Student Accident Insurance
      • Web Links & Related Info
      • Worker's Compensation
    • Facility Services
    • Human Resources
    • Information & Technology
    • Instructional Services
    • Nutritional Services
    • Student Services
    • Transportation Services

Departments

Departments : Business Services : Worker's Compensation

Worker's Compensation

In the event an employee is injured at work, the employee must go to the Main Office at the building to report the injury to his/her Supervisor and request an injury packet. Please work with the Supervisor to complete the information provided in the packet. Return the completed packet to the District’s Benefits Specialist as soon as possible.

Additionally, in the event the employee intends to seek medical treatment or the injury status changes, the employee must notify his/her Supervisor immediately. Please return all Physician Recommendation or Status Reports to the Benefits Specialist as soon as possible.

DWD Information Sheet
Medical Attention Information
Physician Return to Work Recommendations
Return to Work Program Notice
RAS - Return to Work Report
RAS - Medcor Worksite Injury Assessment Service
  • Koxlien, Amie
    • Koxlien, Amie
    • Benefits Specialist
    • 608.526.6610 x1305
    • Email
    • Web site
School District of Holmen

Contact Information

  • 1019 McHugh Road
    Holmen, WI 54636
  • 608.526.6610Email Us
  • Fax: 608.526.1333
  • Facebook
  • Youtube
  • Instagram

© 2025 School District of Holmen. All Rights Reserved.

  • Non-discrimination Statement
  • Report Web Accessibility Issue
  • STOPit
Created with CMS4Schools