Injury Reporting

​UWSP EMPLOYEE INJURIES

Employees who are performing work for the University within scope of employment and are on the University payroll are covered under Worker’s Compensation for work related injuries.

When an Injury Occurs

  1. 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 injured employee seeks or obtains medical help as needed. This is 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 compensation due.  The employing department is responsible for payment of all fines.

  2. The injured employee must complete the “employee” section of an Employer’s First Report of Injury or Disease (WKC-12), and an Employee’s Work Injury and Illness Report (UWS/OSLP-1Emp).

    The supervisor must complete the “employer” section of an Employer’s First Report of Injury or Disease (WKC-12), and a Supervisor’s Accident Analysis and Prevention Report (UWS/OSLP-2).

    All three reports must be submitted to Risk Management within 24 hours. Worker’s Compensation packets containing instructions, forms, and fact sheets can be obtained from Risk Management (101 George Stien Building), or by calling x2618. Call to report any complications.

    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 compensation due. The employing department is responsible for payment of all fines. Also, reports are necessary to begin the worker’s compensation process for the employee.

    See Instructions for Completing Injury Reports, forms and resources to the right.

  3. If medical treatment is necessary, the employee has the choice of any physician, chiropractor, psychologist or podiatrist licensed in the State of Wisconsin. Saint Michael’s Hospital and Rice Medical Center are the closest treatment facilities.

  4. Inform the place of treatment that the injury is work related and to submit all medical bills to the UWSP Risk Management office, 101 George Stien Bldg, 1925 Maria Drive, Stevens Point, WI 54481. Receipts for medication should be sent to Risk Management for processing.

  5. When a work related injury results in work restrictions or an absence from work, a work slip from your medical provider showing the reason and effective dates is required. Risk Management must be contacted for any lost time or restrictions involving work related injuries and approved all work restrictions arrangements and lost time from work claimed under worker’s compensation. UWSP and the University of Wisconsin System have Early Return to Work Policy. The supervisor of the injured employee shall contact Risk Management 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.

  6. 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 below notification procedure:

    ·       Contact one of the following:  
    UWSP Risk Management Department 715-346-2618
    Vice Chancellor of Business Affairs 715-346-2641
    Protective Services 715-346-3456

    Risk Management 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.  

  7. 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 walk through of the accident, follow-up questioning, confirmation of statements, reconciliation of information, pictures and other necessary analysis.

Contacts / Additional Information:

Sandy Gilbeau
UWSP Worker’s Compensation Coordinator
(715)346-2618
sgilbeau@uwsp.edu

UWSP NON-EMPLOYEE INJURIES/ILLNESSES REPORTING

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 appropriated insurance coverage. Health Services provides certain health care services to UWSP students and also has information on obtaining a health insurance plan.

For all Non-UWSP employee injuries - Complete the  non-employee injury report . Contact 715-346-3901 for assistance. Submit completed form to Risk Management, 101 George Stien Bldg, 1925 Maria Drive, Stevens Point, WI 54481.