Search
Search
Clear
Search
Inquire
Schools
Lyme-Old Lyme High School
Lyme-Old Lyme Middle School
Center School
Lyme School
Mile Creek School
Virtual High School
District Information
Central Services
Business Office
Facilities Department
Special Services
Technology Department
Board of Education
Meeting Schedule
Meetings for Development of 2024-2025 Budget
Minutes
Newsletter
Policy Book
Presentations
Budget (2023-2024)
Budget (2024-2025)
Directions
Employee Directory
Employment
Focus on Education Newsletter
Health Office
PK-8 Facilities Project
Policy Notification
Prospective Students
About Us
Mentor Program
Prospective Students
(opens in new window/tab)
Social Media Feeds
Strategic Plan
Towns of Lyme and Old Lyme
Academics
Class Size Guidelines
Curriculum
District Testing Profile
Homework Guidelines
Read.Explore.Learn!
Arts
Visual Arts
Music
Theater
Arts in the Community
Athletics
Quicklinks
Athletic Registration
(opens in new window/tab)
Canvas/Parent
(opens in new window/tab)
Canvas/Student Teacher
(opens in new window/tab)
ClassLink
(opens in new window/tab)
Destiny Card Catalog
(opens in new window/tab)
Directions
(opens in new window/tab)
District Map
Employment
(opens in new window/tab)
Elementary Tech Support
Facility Usage
(opens in new window/tab)
Incident Reporting
(opens in new window/tab)
Kindergarten Registration
Library Media Centers
(opens in new window/tab)
Lunch Menus
(opens in new window/tab)
Office 365 Portal
(opens in new window/tab)
ParentSquare
(opens in new window/tab)
PowerSchool
(opens in new window/tab)
Preschool Registration
Read.Explore.Learn
(opens in new window/tab)
School Dude
(opens in new window/tab)
Site Map
(opens in new window/tab)
Staff Directory
(opens in new window/tab)
Parents
Students
Staff
Calendar
District
Schools
Skip to Main Content
District
Our Schools
Lyme-Old Lyme High School
Lyme-Old Lyme Middle School
Center School
Lyme School
Mile Creek School
Virtual High School
Parents
Students
Staff
Calendar
Quicklinks
Athletic Registration
(opens in new window/tab)
Canvas/Parent
(opens in new window/tab)
Canvas/Student Teacher
(opens in new window/tab)
ClassLink
(opens in new window/tab)
Destiny Card Catalog
(opens in new window/tab)
Directions
(opens in new window/tab)
District Map
Employment
(opens in new window/tab)
Elementary Tech Support
Facility Usage
(opens in new window/tab)
Incident Reporting
(opens in new window/tab)
Kindergarten Registration
Library Media Centers
(opens in new window/tab)
Lunch Menus
(opens in new window/tab)
Office 365 Portal
(opens in new window/tab)
ParentSquare
(opens in new window/tab)
PowerSchool
(opens in new window/tab)
Preschool Registration
Read.Explore.Learn
(opens in new window/tab)
School Dude
(opens in new window/tab)
Site Map
(opens in new window/tab)
Staff Directory
(opens in new window/tab)
Mobile Menu
Schools
Lyme-Old Lyme High School
Lyme-Old Lyme Middle School
Center School
Lyme School
Mile Creek School
Virtual High School
District Information
Central Services
Board of Education
Budget (2023-2024)
Budget (2024-2025)
Directions
Employee Directory
Employment
Focus on Education Newsletter
Health Office
PK-8 Facilities Project
Policy Notification
Prospective Students
About Us
Mentor Program
Prospective Students
(opens in new window/tab)
Social Media Feeds
Strategic Plan
Towns of Lyme and Old Lyme
Academics
Class Size Guidelines
Curriculum
District Testing Profile
Homework Guidelines
Read.Explore.Learn!
Arts
Visual Arts
Music
Theater
Arts in the Community
Athletics
Lyme-Old Lyme Schools
A Private School Experience in a Public School Setting
Search
Search
Clear
Search
Inquire
Worker's Comp Injury Reporting
This form requires Javascript to be enabled for submission and authorization.
*
Required
Date of Injury
*
required
Must contain a date in M/D/YYYY format
Time of Injury
*
required
Date you notified supervisor of injury
Must contain a date in M/D/YYYY format
Name
*
required
First Name
Last Name
Social Security Number
*
required
Phone Number
*
required
Home Address
*
required
Date of Birth
*
required
Must contain a date in M/D/YYYY format
Description of Injury (provide details)
*
required
Body Part(s) Injured
*
required
Where did injury occur?
*
required
Time you began work on date of injury
*
required
Medical Provider and Address (if sought medical treatment)
Submit
In This Section
Central Services
Board of Education
Budget (2023-2024)
Budget (2024-2025)
Directions
Employee Directory
Employment
Focus on Education Newsletter
Health Office
PK-8 Facilities Project
Policy Notification
Prospective Students
Powered by Finalsite