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Workers' Compensation

Procedures
Supervisor/Employee Responsibilities
TTD-Temporary Total Disability
  Restricted Work Activity
Days Away From Work
Supervisor's Checklist

Workers' Compensation Forms

Supervisor's Responsibilities

Incident only - no treatment is necessary:

  • Receive notice from employee of a work-related injury or illness.
  • Complete the on-line form, "Report for Incident Only " with the employee (no treatment necessary) .

If treatment is necessary:

  • Receive notice from employee of a work-related injury or illness.
  • Make sure the employee is aware of his/her responsibility to call the CareSys Early Intervention Hotline at 1-800-773-3221 or 1-800-526-0844 (TDD) IMMEDIATELY after the injury/illness has occurred. If employee is unable to place the call, the supervisor may call.
  • Employee has received and completed the appropriate Workers’ Compensation forms available on-line.
  • Complete the following forms upon notification of injury:
  • Forward all completed forms (including employee and witness reports) to the Workers' Compensation Coordinator, Room 2010 Old Main.
  • If injury/illness involves days away from work or restricted work activity, contact the Workers’ Compensation Coordinator at 581-7835 IMMEDIATELY.
  • Have employee maintain contact with the work site (supervisor & Workers’ Compensation Coordinator) regarding return to work issues, submission of documentation to validate work absence and/or work capacity changes.
  • Questions? Contact the Workers’ Compensation Coordinator at 581-7835.
Employee's Responsibilities
  • Report the injury/illness immediately to your Supervisor.
  • If incident only (no treatment is necessary) complete the on-line form, "Report for Incident Only " with your supervisor (no treatment necessary) . No further action is necessary.
  • If treatment is necessary, call the CareSys Early Intervention Hotline at 1-800-773-3221 or 1-800-526-0844 (TDD) IMMEDIATELY after the injury/illness has occurred. If employee is unable to place the call, the supervisor may call.
  • Complete the following forms:
  • Have witness/es complete the Witness Report of Injury form.

 

 


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