UWSP Employee Injuries
Employees who are performing work for the University within the scope of employment and are on the University payroll are covered under Worker’s Compensation for work-related injuries.
When an Injury Occurs
- The employee shall inform a supervisor of the injury immediately. In the event of a medical emergency call
911 or Protective Services (x3456). Make sure the injured employee seeks or obtains medical help as needed. This is the first priority. Follow
Medical Emergencies as necessary.
Failure to report on the day of injury may compromise your claim and result in disciplinary action. In addition, monetary fines may be issued directly to the applicable department from the State of WI for late reports -
Failure to submit reports or information as required may result in a fine of $100 to the employer. In addition, a 10% delayed payment penalty may also be assessed. If an employer intentionally fails to file a report of injury, the employer may be assessed a penalty for bad faith up to $30,000 or 200% of the compensation due. The employing department is responsible for the payment of all fines.
- The injured employee must complete the
Employee’s Work Injury & Illness Report (UW/ORM-1Emp) and submit the form to the supervisor via paper or by saving the completed form in the employee's UWSP
OneDrive and sharing it with the supervisor.
- The supervisor must complete the
Employer's First Report of Injury or Disease (WKC-12) and the
Supervisor Accident Analysis and Prevention Report (OSLP-2).
Submit all three reports to Human Resources within 24 hours.
This is most effectively and efficiently completed by scanning or saving the report to your
OneDrive and then sharing a link to the folder with
email@example.com. Otherwise, route the forms to Human Resources-Old Main Room 133 or fax to 715.346.3698.
Failure to submit reports or information as required may result in a fine of $100 to the employer. In addition, a 10% delayed payment penalty may also be assessed. If an employer intentionally fails to file a report of injury, the employer may be assessed a penalty for bad faith up to $30,000 or 200% of the compensation due. The employing department is responsible for the payment of all fines. Also, reports are necessary to begin the worker’s compensation process for the employee.
- If medical treatment is necessary, the employee has the choice of any physician, chiropractor, psychologist, or podiatrist licensed in the State of Wisconsin. Ascension Saint Michael’s, Marshfield Clinic, and Aspirus are examples of the closest treatment facilities to the main campus. If seeking treatment, the employee needs to ensure they receive a return to work note/status from the provider.
- Inform the place of treatment that the injury is work-related and to submit all medical bills to:
UWSA Office of Risk Management
780 Regent Street
Billing Fax: 608.263.7330
- When a work-related injury results in work restrictions or absence from work, a return to work note/status from your medical provider showing the reason and effective dates are required. Human Resources must be contacted for any lost time or restrictions involving work-related injuries. UWSP and the University of Wisconsin System have an
Early Return to Work Policy. The supervisor of the injured employee must contact Human Resources to discuss whether temporary modified duty is available within given work restrictions. The employee will be placed in another department or State agency temporarily if the employing department cannot accommodate restrictions. The employing department continues to pay these wages.
- Additional requirements for reporting of fatalities and multiple hospitalizations. We have an obligation to notify state regulators about the death of any UWSP employee or hospitalization of three (3) or more employees from a work-related incident within eight (8) hours of its occurrence.
Follow the below notification procedure:
- Contact one of the following:
UWSP Human Resources 715-346-3975
Vice Chancellor of Business Affairs 715-346-2641
Protective Services 715-346-3456
- Human Resources will inform the WI Safety and Professional Services Department at 608-266-2112. During non-business hours, Wisconsin Emergency Management at 800-943-0003 shall be contacted. UWSA shall then be notified at 608-890-4792.
- Once all forms are submitted a follow-up safety review will be conducted by the EHS Officer. Employees and Supervisors shall participate in this review fully and provide all requested information. This may include a walkthrough of the accident, follow-up questioning, confirmation of statements, reconciliation of information, pictures, and other necessary analysis.
Contacts / Additional Information:
Principal Human Resources and Affirmative Action Officer and is UWSP's Worker's Compensation Coordinator
UWSP Non-employee Injuries/Illnesses
UWSP/State of Wisconsin does not cover students, volunteers, visitors, or other non-employees under health, accident, disability, worker’s compensation insurance, or other related insurance programs. UWSP recommends these groups obtain appropriate insurance coverage. Health Services provides
certain health care services to UWSP students and also has information on obtaining a health insurance plan.
All incidents involving personal injuries should be reported using the
UWSP Non-Employee Accident Report.