Workers Compensation Program
Cal State East
Bay is committed to providing a safe working environment for you.
However, in the event you experience an injury or illness resulting
from employment, you may be entitled to Workers' Compensation benefits.
Such an injury or illness may have resulted from a single incident
or from repeated and prolonged exposure to activities or substances
at work.
It is the responsibility
of Human Resources to minimize the impact on you in the event this
occurs. It is also our goal to facilitate your return to full employment
as soon as possible. To achieve this goal, we will:
- Ensure you
receive immediate medical attention;
- Coordinate
payment of disability benefits in a timely manner;
- Assist you
in returning to modified or transitional duty, if applicable
- Assist you
in understanding the workers’ compensation process, answer questions
and provide pertinent information regarding your claim.
If
a work related injury/illness occurs . . .
Report
the injury/illness to your Manager/Supervisor
You
must report any injury or illness to your manager/supervisor within
eight (8) hours, no matter how trivial the injury may seem. You
will need to inform your manager/supervisor when and where the injury/illness
occurred, what happened, and if anyone witnessed the injury. Prompt
reporting of an injury/illness will help prevent problems and delays
in receiving benefits, including medical care you may need to avoid
further injury.
Medical
Treatment
If
the injury/illness requires emergency assistance:
- Call
911 immediately from any campus phone. You will be connected
to a campus police dispatcher, who will send a police officer and
if needed emergency medical personnel to assist you.
In
non-life threatening situations:
- First
Aid: If
the injury or illness requires medical attention and is not an
emergency, your supervisor will direct you to Student Health
Services. This medical facility is designated to treat first
aid injuries and/or injury/illnesses that require no more than
two visits. When
you go to Student Health Services for evaluation and/or treatment,
Human Resources will provide you with an Authorization
for Treatment form to take with you.
- Beyond
First Aid: You
will be referred to a designated occupational medical facility.
You will be provided with, in addition to the authorization for
treatment, two forms to complete, an Employee's
Claim for Workers' Compensation Benefits and
an Employee’s Report of Work Injury/Illness. The
information you provide will assist your manager/supervisor in
completing the Supervisor's Report of Employee Injury/Illness and
will give important details regarding your claim.
- Weekends
and After Work Hours: For any injuries/illnesses occurring
before 8:00 a.m. and after 5:00 p.m. Monday through Friday or
on weekends, you will be directed to Kaiser Emergency Medical
Center in Hayward or the nearest emergency room.
Pre-Designating
Your Treating Physician:
You
have the option of pre-designating your personal physician as your
treating physician in the event of a work-related injury/illness.
This must be done in advance. If you choose to pre-designate, we
suggest checking with your personal physician to be certain they
will treat work-related injuries/illnesses. It is also your responsibility
to update your designation should you change physicians. The Workers'
Compensation
Personal Physician Designation Form is
available through the link below (Forms and Related Information)
Off
Work:
If
the physician certifies that you are not able to work and you are
temporarily totally disabled, you shall fax, mail, or deliver a
copy to Human Resources. Human Resources will then communicate
with your department.
Return-to-Work:
- If
you are released by the physician to return to work without restrictions, you
shall obtain from the physician a written release to return to
full duty. You shall fax, mail, or deliver a copy to Human Resources.
Human Resources will then communicate with your department regarding
your return to full duty. It is your responsibility to provide
the release to return to work prior to your date of return.
If
the physician releases you to "modified" or "light" duty
work,
your manager and the Workers' Compensation Coordinator shall
review the work restrictions and determine if temporary modified
or alternate work is available. If a temporary transitional
assignment is feasible, the manager and the Workers' Compensation
Coordinator will meet with you to go over the temporary transitional
assignment and to review the work restrictions prescribed by
the physician. Human Resources will notify you upon approval
of the transitional assignment.
Forms
and Related Information may be downloaded from the HR Forms link.