Maytum Hall administration building on the Fredonia campus.

Workers' Compensation

EMPLOYEE ACCIDENT REPORTING PROCEDURE:

Employees may be eligible for workers' compensation benefits when injured in a work-related accident. Benefits include medical treatment at no cost to the employee and possible wage replacement depending on the length of disability.

IF YOU ARE INJURED ON THE JOB:

  1. Seek medical assistance, if necessary, and notify your supervisor.
  2. Complete an Employee Accident Report, available from your supervisor, Human Resources or click here for the online form.
  3. Call the Accident Reporting System (ARS) at 1-888-800-0029 to report the injury and to obtain an incident number. Please retain this important number. The ARS Call Center hours are 8am - 9pm, M-F. Callers will be able to leave a message after hours and on weekends and holidays.
  4. Promptly forward accident report and any medical documentation to Human Resources.
  5. Review the Claimant Information Packet. This packet contains valuable information about workers compensation benefits, including prescription coverage (pg. 9-10) and direct deposit for your benefits (pg. 13-14).
  6. If you are unable to report for work due to the accident, be sure to notify your supervisor and Human Resources that your absence is the result of your occupational injury.

MEDICAL DOCUMENTATION AND RETURN TO WORK PROCEDURES:

  • Return to work as soon as you are able, with proper authorization from your physician. You will be required to provide a note from your physician to Human Resources authorizing your return.
  • All medical documentation taking you in and out of work should be completed by a Medical Doctor (MD).
  • If you are taken by ambulance for your accident and have been released back to work, you MUST receive documentation from the physician/hospital releasing you back to work and submit to Human Resources prior to returning.

THINGS TO REMEMBER AFTER THE ACCIDENT:

  • Keep HR and the State Insurance Fund updated with medical information, address changes, lost time and return to work.
  • Keep your supervisor informed.
  • Attend hearings, if necessary, and submit to medical examinations when requested.
  • Submit satisfactory medical documentation.
  • Contact HR before returning to work, follow return to work procedures. 

HELPFUL LINKS: