firstname.lastname@example.orgUW Oshkosh Campus Contact
Worker’s Compensation Coordinator
Injury or Illness at Work
Getting Started: Steps Taken When Staff Member or Student Worker is Injured
What if you are injured at work? It is your responsibility to report the injury to the supervisor on duty promptly after the injury has occurred.
- Complete the injury and illness report and submit to your supervisor.
Detailed information related to what worker’s compensation covers and benefit impacts can be found here.
It is your responsibility to ensure that the employee’s first injury/illness report and the supervisor analysis and questions are given priority when an injury occurs. For an overview of supervisor’s responsibilities in the worker’s compensation process, click here.
- Complete the supervisor’s accident analysis and prevention report, including general questions regarding the employee’s schedule.
Send signed and dated Injury & Supervisor forms to Risk Management
Both signed and dated forms, along with answers to the supervisor questions, should be sent to Risk Management, Campus Services Center, within 24 hours of the injury.
- If need be, you can email the forms to Natalie Stenson (email@example.com) before sending the originals.
- If it is a work-related death, please contact Risk Management (920.424.1177) and Human Resources (920.424.1166) immediately.
- If, due to the injury, the chair/supervisor or employee are unable to complete the forms within 24 hours, immediately contact Natalie Stenson to inform her of the details of the injury.
Forward all physician return-to-work forms and reports to Human Resources upon receipt
These forms will indicate the date a faculty/staff member may return to work with or without restrictions and must be filed with Human Resources. An evaluation, in collaboration with the supervisor, will be conducted to determine if job duties may be modified to work within the restrictions. For each physician visit, a return to work form should be submitted, including if the diagnosis is to return to work with no restrictions. Physician documentation and return to work forms should be submitted to:
Human Resources, UW Oshkosh
800 Algoma Blvd,
Oshkosh WI 54901
Fax Number: (920) 424-2021
Timecard/leave reporting should indicate any lost time due to a work related injury
If lost time occurs, it is important that the timecard/leave report indicate those days off of work. Natalie Stenson may assist with how time should be recorded on the timecard/leave report on a case-by-case basis.
Upon receipt of the injury reports, Risk Management will review for completeness and submit to the Office of Safety and Loss Prevention
The UW Oshkosh Safety Coordinator will review all injury reports for evaluation of safety practices on campus. The UW System Worker’s Compensation Coordinator will contact the employee injured with details of the claim. Natalie Stenson will be the liaison between the Office of Safety and Loss Prevention and the employee. If you should have any questions or concerns regarding claims, please call Natalie Stenson in Risk Management.
Return to Work
For further information regarding Worker’s Compensation, please visit the UW System Worker’s Compensation website.