Employee Workers’ Compensation

If the illness or injury is life threatening, call 911!  

In the event of a work-related injury or illness, employees must notify their supervisor immediately.

Employees needing medical treatment must call the Company Nurse Injury Hotline at 1-855-339-1893.  It is accessible 24 hours a day, 7 days a week.

If the injury occurs after hours, during the weekend, or away from campus, employees should contact Company Nurse for a referral.

If no medical treatment is needed, the employee must complete the Injury Incident Report Form.  Failure to report an injury before seeking treatment may result in a denial of medical benefits until the employee notifies their supervisor or employer representative.

Please call the Injury Hotline BEFORE coming to Health Services.
(Health Services providers can not offer treatment until the call is made and
the necessary paperwork is received  from Company Nurse).




Prescriptions: When an injured employee reports a new workers’ compensation injury for which he or she is going to receive medical treatment; some employees may need a prescription filled. These employees will need a Temporary Prescription Form. Health Services will provide this form. All prescription requests are approved through Public Employee Claims Division (PECD).  In some cases the injured employee may need additional prescriptions; once approved, a permanent prescription card will be mailed to the employee’s home address.

There may be times when Health Services needs to refer employees elsewhere for further examination and/or treatment. All referrals or follow-up appointments must be approved in advance by the Public Employee Claims Division (PECD).

PECD, NOT HEALTH SERVICES STAFF, determine whether or not an employee’s claim
is eligible for workers’ compensation benefits. 


Workers’ Compensation Procedures

Employee’s Acknowledgement of Form AR-N

Form H – Health Care Notice for Employees Under Managed Care

Form P – Workers’ Compensation Instructions to Employers and Employees

Injury Incident Report Form – No Medical Treatment

Mileage Reimbursement Form

Company Nurse Flyer

AR Workers’ Compensation FAQ

PECD – Employee Brochure

Public Employee Claims Division