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Workers' Compensation Injury Reporting

Work-related Fatalities and Serious Injuries or Illnesses

In addition to the normal Workers' Compensation reporting requirements below, EH&S must be notified immediately of a Serious Injury or Illness.  Please refer to SafetyNet #121.

 

Work-related injuries or illnesses must be immediately reported to Workers Compensation and the employee should follow the following protocol:

After Hours or Emergency, call 9-1-1 or go to Sutter ER

Supervisor (or next responsible person) is to accompany the employee to ER - Make sure your employees let you know of extended hospitalization and Return to Work restrictions

 

Non-emergency, during regular work hours Mon-Fri (8am – 5pm):

1) Call Occupational Health Services at 530-752-6051 to schedule an appointment for the employee

    • The clinic is located in the Cowell Building.  Map.

2. Complete the employee’s section: UCD Employer’s Report of Occupational Injury or Illness, employee brings to the clinic

 

Outside of normal business hours, non-emergency:

    1. If medical treatment is necessary, send to Sutter Health (Davis) or the closest medical treatment facility

    2. Call 877-682-7778 to report the work-related injury/illness and file a WC claim.

    3. UC Davis WC will be notified by Sedgwick/CMS

    4. Complete Employee’s Section: UCD Employer’s Report of Occupational Injury or Illness, fax* to WC

 

Reporting injuries to a 1-800 number: You now have the option to report your work incurred injuries directly to the University's third party insurance carrier, Sedgwick. Before reporting make sure your supervisor is informed of your injury. To report a claim call 1-877-682-7778.

 

For Workers' Compensation Related Questions:

Kim Sieg: klsieg@ucdavis.edu, 530-752-7243

FAX # 530-752-3439