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.
The employee shall submit a report via the E-Form Process
To begin the process, click the following link below or scan the QR code with your smart device to open the Employee Work Injury and Illness Form. Employee's Work Injury and Illness Report
To begin the process, click the following link below or scan the QR code with your smart device to open the Employee Work Injury and Illness Form.
Employee's Work Injury and Illness Report
Steps in the Automated ProcessEmployee Injury-Illness Reporting Workflow
Steps in the Automated Process
Employee Injury-Illness Reporting Workflow
Employee submits the Employee Work Injury/Illness eForm Supervisor gets notified of submission through emailSupervisor reviews submission in the eForm systemOnce reviewed Supervisor completes the Supervisor's Report in the eForm system Supervisor Incident Analysis and Prevention eFormBoth submitted reports are sent to internal UWSP contacts, such as the EHS Specialist and sent to the UW System Workers Compensation Coordinator
Note for Supervisors: If your employee is unable to immediately submit the report due to the nature of the injury you do have the option to create the Supervisor's Report first by clicking the link below to initiate the claim filing process. Supervisors must have their report submitted within 24 hours of the incident.Supervisor's Incident Analysis and Prevention Report
Note for Supervisors: If your employee is unable to immediately submit the report due to the nature of the injury you do have the option to create the Supervisor's Report first by clicking the link below to initiate the claim filing process. Supervisors must have their report submitted within 24 hours of the incident.
Supervisor's Incident Analysis and Prevention Report
Additional Employee Information
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.
UWSA Office of Risk Management
780 Regent Street
Madison, WI 53715
Billing Fax: 608.263.7330
Once all forms are submitted a follow-up safety review will be conducted by the EHS Specialist. 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.
pgruber@uwsp.edu
sthomas@uwsp.edu
UW Systems Workers Compensation HomepageWi Department Of Workforce Development Homepage
UWS Return To Work Website
Witness Statement Form
UW Mileage Reimbursement