Supervisor

  1. Call Workers’ Compensation at (805) 893-3145 ASAP if an employee needs medical treatment.
  2. “Create a Claim” by completing an Employee Injury & Illness Reporting (IIR). See Injury & Illness Reporting User Guide and YouTube tutorial: Injury & Illness Reporting: Reporting an Employee Injury or Illness.
  3. Complete Employer Investigation. See Employer Investigation User Guide and YouTube tutorial: Injury & Illness Reporting – Conducting an Investigation.
  4. Call Workers’ Compensation at (805) 893-2029 if you have questions.

NOTE: Do not fax or email Incident Report to WC or call the claim into the Reporting Line.

Injured Employee

  1. Immediately report the injury to your supervisor.
  2. Call Workers’ Compensation at (805) 893-3145 if you need medical treatment & your supervisor is not available.
  3. If supervisor is not available, “Create a Claim” by completing an Employee Injury & Illness Reporting (IIR). See Injury & Illness Reporting User Guide and YouTube tutorial: Injury & Illness Reporting: Reporting an Employee Injury or Illness.
  4. Advise supervisor you have completed an EFR so they can complete the Employer Investigation User Guide and YouTube tutorial: Injury & Illness Reporting – Conducting an Investigation.
  5. Call Workers’ Compensation at (805) 893-2029 if you have questions.

NOTE: Do not fax or email Incident Report to WC or call the claim into the Reporting Line.

Office Managers, Business Officers, etc.

  1. Call Workers’ Compensation at (805) 893-3145 ASAP if employee needs medical treatment.
  2. Notify employee’s supervisor that an employee has been injured and the injury was reported.
  3. “Create a Claim” by completing an Employee Injury & Illness Reporting (IIR). See Injury & Illness Reporting User Guide and YouTube tutorial: Injury & Illness Reporting: Reporting an Employee Injury or Illness. 
  4.  Advise supervisor you have completed an Employee Injury & Illness Reporting (IIR) so they can complete the Employer Investigation. See Employer Investigation User Guide and YouTube tutorial: Injury & Illness Reporting – Conducting an Investigation.
  5. Call Workers’ Compensation at (805) 893-2029 if you have questions.

NOTE: Do not fax or email Incident Report to WC or call the claim into the Reporting Line.

*The Employer’s First Report must be completed within 24 hours of the University’s first notice of incident.

Important

Immediately contact Environmental Health & Safety (EH&S) at (805) 893-3194 if any of the following occurs:

  • Worker fatality

  • Inpatient hospitalization

  • Loss of any body part (e.g., fingertip)

  • Serious injury

These incidents must be reported to OSHA within 8 hours of the event.

Further Information

If the employee’s injury or illness is medically determined to meet the State of California definition of injury as a workers’ compensation claim, the Workers’ Compensation Office will mail the employee a Workers’ Compensation Claim Form (DWC-1) with complete instructions.

Sedgwick CMS (Claims Management Services) administers the University’s workers' compensation claims. A Sedgwick CMS claims administrator will investigate the injury, and determine acceptance of the claim. If a representative from Sedgwick CMS contacts you, please provide any information requested. This includes departmental files, job description, or time records.

Reporting an injury or submission of a claim form does not imply automatic approval of the claim. Claims are approved by Sedgwick CMS for UCSB.

Please contact the Workers’ Compensation Office at (805) 893-3145 for further information.