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UCLA Health Human Resources

UCLA Health Human Resources

UCLA Health Human Resources
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UCLA Health Human Resources

Workers’ Compensation

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  2. Leaves and Disability Services
  3. Workers’ Compensation

Workers’ Compensation

Workers' Compensation is a state-mandated benefit for employees with work-related injuries and illnesses, awarded without regard to who is at fault. Employers are required to provide benefits in case of injury, illness, death, or aggravation of a pre-existing condition resulting from employment. For the University of California, these benefits are administered by a self-insured plan. There is no outside insurance carrier. The University contracts with a third-party administrator, Sedgwick CMS, for the management of its claims. Employees should follow the steps below to properly report their injury and obtain treatment.

 

How to:

  • Report a Work Related Injury/Illness
    • For Employees
    • For Employers
  • Where to Seek Medical Attention
  • Request an Ergonomic Evaluation
  • Request a Safety Evaluation
  • Report a Serious Injury or Illness

 

Employee Notices and Forms

  • Pharmacy Benefit Network (English/Spanish)
    • English
    • Spanish     
  • Injuries Caused by Work (English/Spanish) 
  • UCLA Health Incident Report Form
  • CA Form DWC1
  • Time of Hire
    • Facts About Workers’ Compensation
      • English 
      • Spanish
    • Pharmacy Benefit Network brochure                               
  • UCLA Health Workers’ Compensation policy HS7318 Employee Work-Related Illness and/or Injury

 

UCLA Health Transitional Return to Work (TRTW) Program

  • TRTW Guidelines
  • UCLA Health Policy HS7324 Transitional Return to Work (TRTW) Policy  

 

Additional Resources

  • Employee Assistance Program (EAP) - services provided by the UCLA Staff and Faculty Counseling Center
  • Environmental Health and Safety (UCLA Health) Injury Prevention 
  • FAQ (content being developed)
  • Leave of Absence Notification (LOAN)
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