Worker’s compensation (WC) is a State of Wisconsin statutory benefit program that provides medical treatment, wage replacement, and other benefits to employees who sustain work-related injury or illness.
If you sustain a work-related injury or illness:
- Seek immediate first aid and/or medical treatment, as necessary. Inform your medical provider if you sustained a work-related injury or illness.
- Report the occurrence to your supervisor by completing the Employee’s Work Injury and Illness Report (PDF)* and submit it to your supervisor within 24 hours of the occurrence of injury or illness. [Important: Please do not include your Social Security Number on any worker’s compensation claim documents.]
- *Note: Physical Plant and College of Engineering employees have a different claim process through an online form. (This is a pilot program as of October 2022.) Employee must notify their supervisor of any injury/illness, then complete and submit the Employee’s Work Injury and Illness Report (links to UW System site) within 24 hours of the occurrence of injury or illness. Their supervisor will be notified the claim is submitted and must also complete an online form.
- Notify your supervisor of any unsafe work conditions.
- Keep your supervisor updated on your work status if you miss any work time due to work-related injury or illness.
- Provide your supervisor (or Divisional Disability Representative) with any medical Off-Work notes or Return-to-Work notes you receive from your medical provider. You must have a medical “release” note from your treating physician before returning to work.
Commonly used worker’s compensation forms
- Employee’s Work Injury and Illness Report (PDF) – English
- The Employee’s Work Injury and Illness Report is also available in the following languages:
- For Physical Plant and College of Engineering (CoE) employees only: Employee’s Work Injury and Illness Report
- Voluntary and Informed Consent for Disclosure of Health Information Form (PDF)
- Mileage Reimbursement Form (Word doc)
Frequently Asked Questions
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What benefits are provided by worker’s compensation?
Worker’s compensation provides medical treatment, wage replacement, rehabilitation, mileage reimbursement, and other benefits to employees who sustain work-related injury or illness. More details can be found on the UW System “What does worker’s compensation cover?” webpage.
Who should I see for medical treatment?
You may choose any physician, chiropractor, psychologist or podiatrist licensed in the State of Wisconsin to provide reasonable and necessary treatment to cure and relieve the effects of your injury.
If not satisfied with your first selection, you may change your medical provider once. Please notify UW–Madison’s Worker’s Compensation Coordinator of any change in your medical provider. Simultaneous treatment by two doctors is not permitted, nor is a third choice of physician unless referred by your primary doctor.
Tell the provider you have a Worker’s Compensation claim when you seek medical treatment. Medical bills—including prescription receipts—should be submitted to the UW Worker’s Compensation Coordinator.
If my injury or illness did not require medical treatment, do I still need to report it?
Yes. All work-related injuries and illnesses, even those that do not require medical treatment, should be reported to your supervisor by completing the Employee’s Work Injury and Illness Report within 24 hours of the occurrence.
What should I do with medical slips that excuse me from work?
Provide all medical slips excusing you from work to your supervisor, Divisional HR Representative, or Divisional Disability Representative (DDR). It is important to keep your supervisor updated on your work status if you miss any work time due to work-related injury or illness.
Prior to returning to work, you must provide your supervisor, Divisional HR Representative, or Divisional Disability Representative (DDR) with a medical note from your treating physician, releasing you to return to work.
How do I have my medical bills paid?
The first step in receiving worker’s compensation benefits is to immediately report your injury or illness by completing the Employee’s Work Injury and Illness Report and submitting it to your supervisor within 24 hours of the occurrence of injury or illness. (The timing and notification of your supervisor is the same for Physical Plant and College of Engineering (CoE) employees, however the claim is submitted online. Your supervisor is notified when the claim is submitted and must submit their own online form.)
If your claim is determined to be compensable, your medical provider will be paid directly for costs associated with treatment reasonably required to cure and relieve the effects of your injury.
All medical bills related to your injury or illness should be submitted to UW Madison’s Worker’s Compensation Coordinator at:
Worker’s Compensation
University of Wisconsin-Madison
21 N. Park St, Suite 5301
Madison, WI 53715-1218
Email: workcompprog@bussvc.wisc.edu
Fax: 608-265-3624
How do I receive coverage for my prescriptions?
If your claim is determined compensable, a pharmacy card will be mailed to your home address (as recorded in HRS). If you need to fill a prescription before receiving your pharmacy card, you may submit the prescription receipt(s) describing the medication and the cost you paid for the prescription to the Worker’s Compensation Coordinator for reimbursement consideration.
Will I be paid for my time lost from work?
If your worker’s compensation claim is determined compensable, you will be paid for time lost from work due to your work-related injury or illness at a rate equal to two-thirds (⅔) of your average weekly wage, subject to statutory maximums which are increased periodically . The most recent maximum weekly benefit amount can be found in the Maximum Wage and Rate Chart (publication WKC-9572-P from the Wisconsin Department of Workforce Development).
Worker’s compensation wage replacement benefits are not taxable under state or federal law.
Benefits are payable until you reach a healing plateau.
Lost time benefit FAQ guide
When will I be paid?
If your claim is determined to be compensable, you will receive a wage replacement paycheck (at a rate of two-thirds (⅔) of your average weekly wage), mailed to your home address (as recorded in HRS), very close to your normal pay date. If your timesheets are not submitted timely or correctly, your wage replacement benefit check may be delayed.
How do I receive payment for mileage to and from my doctor appointments?
You are eligible to be reimbursed for mileage for travel to obtain reasonable medical treatment. The rate of reimbursement is set by the Department of Workforce Development. Submit your completed Mileage Reimbursement Form to the Worker’s Compensation Coordinator at workcompprog@bussvc.wisc.edu
Are student employees eligible for Worker’s Compensation benefits?
Yes, student employees are eligible for worker’s compensation benefits if they sustain work-related injury or illness. Similar to all employees, they must complete and submit the Employee’s Work Injury and Illness Report (PDF) to their supervisor within 24 hours of the occurrence of injury or illness.
Additional worker’s compensation resources for employees
Worker’s compensation translation services for employees
The Office of Human Resources Cultural Linguistic Services (CLS) assists in the worker’s compensation claims process by providing translation services and assistance to UW-Madison Non-English speaking employees.
CLS provides translation services in five (5) languages: Spanish, Hmong, Tibetan, Chinese and Nepalese. Contact CLS to request translation assistance in the worker’s compensation:
Cultural Linguistic Services
Office of Human Resources
University of Wisconsin–Madison
21 N. Park Street, Suite 5101
Madison, Wisconsin 53715
(608) 265-2257
hr.wisc.edu/cls
Contact
Worker’s Compensation
21 N. Park St., Suite 5301
Madison, WI 53715
Note – Please contact the email address with questions and/or to schedule an in-person meeting. Advanced meeting scheduling is necessary in order to meet with Risk Management staff; drop-in appointments are not available.
(608) 265-9475
Fax: (608) 265-3624