During normal business hours and not out of the area:
Immediately notify your supervisor or the Workers’ Compensation Coordinator (WCC) at (209) 664-6921 so you can get medical help right away. Don’t delay. There are time limits. If medical treatment is needed, send employee to the following facilities.

NOTE: Your employer has the right to select the physician who will treat you for the first 30 days unless there is a Pre-designated physician form on file prior to the injury. You may be able to switch to a doctor of your choice after 30 days)

• WC Information and Instructions
• Pre-designated physician or Pre-Designated of Personal Chiropractor or Acupuncturist Form (Note: Pre-designated Form must be on file with the Workers’ Compensation Coordinator prior to date of injury or illness.)

Not during normal business hours and/or out of area

• Go to the closest Emergency Room

Within 24 hours after an injury / Illness occurs:

• Supervisor to complete SUPERVISOR’S REPORT OF EMPOYEE INJURY
• Have employee complete the employee section of the   EMPLOYEE WORKERS’ COMPENSATION CLAIM FORM (DWC-1)  within one working day.
• Return both completed forms to Faculty Affairs/Human Resources within 24 hours of injury/illness. Please FAX: (209) 664-6536; email: vharrang@csustan.edu; or hand deliver to MSR340.