Complete the Accident and Injury Report within two days of the accident.
When an employee has an at-work or work related accident the employee should immediately notify their supervisor. This initial notification should be made before the employee seeks medical treatment (except for injuries requiring emergency medical treatment). This initial notification to their supervisor should be made even if the employee does not anticipate needing medical treatment.
At the time the employee notifies their supervisor of the accident, the supervisor provides the employee with a Workers' Compensation Employee Accident/Injury Report. The employee completes the two-page Accident/Injury Report which is reviewed and signed by the supervisor and forwarded to the Human Resources Benefits Office within two days of the accident.
The injured employee's supervisor should keep Human Resources informed of the employee's status (medical condition, scheduled appointments, work restrictions, lost time etc...).
Absences for medical appointments and lost time that are the result of the accident should be reported as Workers' Compensation Leave (WCL). A note from the medical provider is required for each absence.
The employee and supervisor should contact Human Resources for additional information and assistance.
Workers' Compensation contact information:
Megan Alston: Phone: 757-683-4196, Fax: 757-683-3064