SNAP : 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) 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) Extended sick leave - Ballot Authorization Incident Report - online Medical Release forms: General Kaiser Mileage Reimbursement Pre-designation of Personal Physician
Resources	Policies and Publications
At Your Service - Summary of Workers' Compensation (.pdf) CAL/OSHA (Occupational Safety and Health) Computer Ergonomic Assessment Ergonomics - main menu Ergonomics - Computer and Office online (enroll in TED) 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 Environmental Health and Safety (EH&S) - UCI Family and Medical Leave Guide to Family Medical Leave - UCI Family Medical Leave - U.S. Dept. of Labor Injury and Illness Prevention Program - EH&S Injured Worker - educational fact sheets Introduction to Workers' Compensation (video) Liberty Mutual Sedgwick Claims Management Services UC Office of Risk Management Wellness website	Academic Personnel - Leave, Medical Separation, Reasonable Accommodation CAL/OSHA - UCI annual log 2012 2011 2010 2009 2008 Environmental Health and Safety (EH&S) policy at UCI Facts About Workers' Compensation pamphlet - provide upon hire English Spanish Injuries Caused by Work - Employees' Notice English Spanish 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 Self-Insurance Program- UC Workers' Compensation Transitional Work Program at UCI Guidelines Policy Work-related accidents and injuries - UC Irvine procedures
	Contacts
	Find an expert: We can lead you to the right person within the Workers' Compensation and Disability Management Unit, (949) 824-9152, fax (949) 824-9299, e-mail wcdm@uci.edu