Worker’s Compensation Resources for Supervisors

Reminder: All work-related injuries and illnesses, even those that do not require medical treatment, should be reported.

Reporting injury and worker’s compensation claim submission process

1. Ensure the injured employee receives immediate and/or emergency medical attention, as needed.
2. Interview the injured employee to obtain information about the injury and any potentially unsafe work conditions.
3. Claim submission process:
   1. Obtain the injured employee’s completed Employee’s Work Injury and Illness Report.
   2. Complete the Supervisor’s Incident Analysis and Prevention Report (PDF).
   3. Submit the completed Supervisor’s Incident Analysis and Prevention Report and Employee’s Work Injury and Illness Report to your Divisional HR Representative within 1 work day (8 business hours) of learning of an employee’s work-related injury or illness.

After claim is submitted

1. Provide any medical documents you receive from the employee to your Divisional Disability Representative (DDR). Your DDR will review and send the documents to the Worker’s Compensation Coordinator. Do not keep copies of any medical documents you may receive.
2. When an employees has lost time from work due to work-related injury, complete and submit Worker’s Compensation Lost Time Reports (Excel) for the injured employee to your HR representative or payroll specialist on a timely basis (no later than Monday morning of the Pay Period Final Calculation week).
3. Be sure to maintain confidentiality of all information related to claim.
4. Remain in contact with the injured employee, so you are aware of their estimated return to work date. Remind the employee they must provide a medical “release” note from their treating physician prior to returning to work.
5. Work with your DDR to assist and arrange for the injured employee to return to work as soon as they are medically able to do so.