Wednesday, December 03, 2008

Administration

 

CSN Employee
Occupational Accidents / Injuries / Illnesses

What to do if you are injured at work.
  1. Report all accidents, injuries or illnesses, no matter how minor, to your supervisor. 
  2. Complete the following forms: 1) Written Statement - Incident Report, 2) C-1 Notice of Injury or Occupational Disease and if appropriate the
  3. If you need medial attention, please contact your supervisor immediately.
  4. If the injury is life threatening or an emergency call 911 (9-911 from a campus line) or proceed to the nearest medical facility.  In this case, complete the C-1 Notice of Injury or Occupational Disease as soon as feasible.
  5. If emergency treatment is not required, you must seek medical evaluation by one of the approved medical providers listed in the Workers' Compensation Information link below.  
    NOTE:  Under Nevada Law, an employee is required to seek medical treatment from an approved clinic, UNLESS EMERGENCY TREATMENT IS REQUIRED.
  6. Tell the doctor you were injured at work.
  7. The healthcare provider who must complete a C-4 Employee Claim for Compensation/Report of Medical Treatment (the official claim form) at the doctor's office.  Must be completed within 90 days from the date of injury.
  8. Following the medical visit contact the Workers' Compensation office for further assistance. 
  9. Communicate with your supervisor regarding the outcome of the medical evaluation, treatment and any work restrictions ordered by the healthcare provider.
  10. Stay in touch with the workers' compensation adminisrator.

     

    Supervisors
    Must submit 'Supervisor's Injury / Illness / Incident Report to Workers' Compensation Office.
Workers' Compensation Program


CCSN's Workers' Compensation Insurance Program is administered at Nevada System of Higher Education, Business Center South located on UNLV campus.  CLICK HERE to access Workers' Compensation Insurance information for CCSN employees.

Workers' Compensation Administrator

Michele Washington
NSHE Business Center South / UNLV Risk Management and Safety
702-895-5404
fax 702-895-5227
Michele.Washington@unlv.edu

Forms & Resources