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MAIN MENU: Workers' Compensation
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MAIN MENU: Workers' Compensation
Process
Forms
Workers' Compensation
- Questions and Answers to get you started...
How To:
Report a Work Related Injury/Illness
for Employees
for Supervisors
Obtain Medical Care
Request an Ergonomic Evaluation
Request a Safety Investigation
Comply with Family Medical Leave (FMLA) or California Family Rights (CFRA)
Enter Workers' Compensation
Leave
in the Payroll/Personnel System
with pay
without pay
Request a
Reasonable Accommodation
- for
Employee
Request a
Reasonable Accommodation
- for
Supervisor
DWC-1 (claim form) & Notice of Potential Eligibility (NOPE)
(English/Spanish)
Chinese
Korean
Tagalog
Vietnamese
Extended sick leave (ESL) -
Ballot Authorization
Interactive Process Checklist
(.doc)
Medical Release forms:
General
Kaiser
Mileage Reimbursement
Pre-designation of Personal Physician
Report
a work-related injury/ illness using
one
of the options below:
Online
- complete
Incident Report
or
Telephonic
– call toll-free 1-877-682-7778
Resources
Policies and Publications
About UC Workers' Compensation
CAL/OSHA
(Occupational Safety and Health)
Campus Assault Resources & Education
(CARE)
Computer Ergonomic Assessment
Ergonomics
- main menu
Ergonomics - Computer and Office online
- enroll in UC Learning Center (UCLC)
Office Ergonomics Checklist
Calif. Division of Workers' Compensation
General Overview
Information and Assistance Unit
Disability Management
menu
Guide to Workers' Compensation:
(.pdf)
Employees -
English
,
Spanish
Employers
Employee Assistance Program
(EAP) - services provided by ComPsych, Guidance Resources
Environmental Health and Safety
(EH&S) - UCI
Family and Medical Leave
(FMLA)
Family and Medical Leave Fact Sheet
- UCOP (.pdf)
FMLA
- UCI Guidelines and Procedures
Injury and Illness Prevention Program
- EH&S
Injured Worker
- educational fact sheets
Introduction to Workers' Compensation
(video)
Lincoln Financial Group
Sedgwick
Claims Management Services
UC Office of Risk Management
Wellness
website
WorkStrong Program
Academic Personnel
- Leave, Medical Separation, Reasonable Accommodation
CAL/OSHA
- UCI annual summary
2022
2021
2020
2019
2018
Employee Notices
Injuries Caused by Work -
English
,
Spanish
Pharmacy Benefit Network -
English
,
Spanish
pamphlet
Time of Hire (Facts About WC) -
English
,
Spanish
pamphlet
Environmental Health and Safety
(EH&S) policy at UCI
Leave
Sick Leave Policy
UCI Procedure 44: Work-Incurred Illness and Injury
Medical Separation
UC Policy 66
UCI Procedure 66
Reasonable Accommodation
UC Policy 81
UCI Procedure 81
Transitional Work Program at UCI
Guidelines
Policy
UC Workers' Compensation
Guidelines on University Self-Insurance
Insurance Programs,
BUS-81
Work-related accidents and injuries
- UC Irvine procedures
Contacts/Customer Feedback
Find an expert: We can lead you to the right person within the
Workers' Compensation and Disability Management
Unit, fax (949) 824-9299, e-mail
wcdm@uci.edu
Your opinion is important to us. Please tell us about your experience with the UCI Campus Human Resources Department.
Author:
EEC
Last published: 2021-02-05
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