Risk Management

Worker's Report of an Injury

​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

1. The employee shall inform a supervisor of the injury immediately. 

2. In the event of a medical emergency call 911 or University Police​​​ (x3456). Make sure the injured employee seeks or obtains medical help as needed. This is the first priority. Follow medical emergencies as necessary.
   

3. 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

• If due to the nature of your injury you are unable to submit the report, a supervisor can submit their Supervisor Report within 24 hours of the incident to initiate the claim filing process
• After the report is filed, this is what happens with the information:

1. ​​Supervisor gets notified of submission through email
2. Supervisor reviews submission in the eForm 
3. Once reviewed your supervisor completes the supervisor's report in the eForm system. 
4. Both submitted reports are sent to internal UWSP contacts, such as the Environmental Health Safety (EHS), Risk Management, and sent to the UW System Workers Compensation Coordinator
   

The Process after an Employee Makes the Report​

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

Madison, Wisconsin, 53715 

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. Contact the HR Employee Relations Specialist for questions on this topic.​

Human Resources

HR Employment Relations Specialist​

Sierra Thomas
Old Main Room 116

715.346.3915​

hr@uwsp.edu

sthomas@uwsp.edu

​(FMLA, Work Restrictions, Return To Work program)​

UWSP and the University of Wisconsin System have an Early Return to Work Program. The supervisor of the injured employee must contact the HR Compliance Specialist in 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.

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.

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