What must you do if you are injured on the job?
- If you have a medical emergency, dial 9-1-1 from a campus phone and you will be taken to St. Agnes Hospital for emergency treatment.
- Report your injury to your Supervisor or Manager as soon as you can.
- By reporting your injury timely, you may prevent problems or delays in receiving benefits. If you do not report your claim on time, you may lose your right to benefits. (Read and follow the Responsibilities of the Employee section carefully.)
- Your supervisor or manager should meet with you and complete the Supervisor Report of Injury form within 24 hours of your injury.
- Immediately contact Julie Irwin the campus Workers' Compensation Manager, at 559.278.2125
or at firstname.lastname@example.org, to report your injury.
- If the injury occurs after hours and you are taken to the hospital, you (or someone acting on your behalf) must contact Campus Police at 278-8400 to report the injury.
- If the injury is minor (such as: minor cuts, scrapes, sprains, bruises), you may obtain
treatment from the University Student Health Center.
- Take a copy of the completed Supervisor Report of Injury form with you.
- The University Student Health Center will determine if you need to be referred on for more advanced medical care.
- University Student Health Center hours are: 8:00 am - 4:45 pm; limited services from 12:00 pm - 1:00 pm.
- Read and follow the RESPONSIBITILIES OF THE EMPLOYEE section of this web site carefully.
Responsibilities of the Employee
- The employee is responsible for reporting their injury or illness to the supervisor or manager.
- The employee needs to report to the University Student Health Center or appropriately directed medical facility for medical treatment. The employee must continue to keep all medical appointments.
- OFF WORK STATUS: If the physician takes the employee off work, it is the employee's responsibility to notify their department supervisor, manager or the Workers' Compensation Manager of their work status. The employee must provide the supervisor, manager, or Workers' Compensation Manager with a copy of the physician's work status report.
- LIGHT DUTY WORK RELEASE: If the physician releases the employee to light duty, it is the employee's responsibility to provide their supervisor, manager or Workers' Compensation Manager the work status report outlining their work restrictions. A determination will be made regarding the availability of light or modified work.
- FULL DUTY WORK RELEASE: If the employee is released to full duty work, the employee must provide the supervisor and Workers' Compensation Manager with a copy of the doctor's release note.
- The employee is responsible for cooperating with the claims administrator (Sedgwick CMS) and providing all documentation to them in a timely basis.