Worker’s Compensation

What Is Worker’s Comp?

Workers’ Compensation is a mandatory coverage that is provided to all eligible employees in California. It is designed to provide employee with immediate medical attention and other benefits when they are injured or become ill at work. See UCLA Policy 305 and UCLA Procedure 305.1 for more information.

Who Does It Cover?

Workers’ Compensation benefits are afforded to employees of the University whose injury or illness arises out of their employment and occurs during the course and scope of their employment with the University. The definition of “employee” includes the following types of employees:

• Limited Appointment, Career, Partial Year Career
• Part-time, including students
• Per Diem
• Other employees who have an appointment in the payroll system
  Please Note: Contractors, vendors and their employees are not employees of the University and must seek benefits from their employers should they become injured while on campus.
  Benefits: Workers’ Compensation provides the following benefits:
• Medical: Medical treatment reasonably required to cure or relieve the injured employee from the effects of a work-related injury/illness.
• Temporary Disability: The weekly benefit paid to partially compensate for the loss of earnings. Paid at the rate of 2/3 of weekly earnings, subject to a statutory minimum and maximum. There is a three-day waiting period, unless the employee is hospitalized overnight.
• Permanent Disability-: If an industrial injury results in a permanent disability that causes a significant handicap in performing work, the injured worker is entitled to a permanent disability rating.
• Employee Disability Management Services: Job skills assessment, placement and retraining for employees who are not able to return to their job because of injury or manage TRTW (Transitional Return to Work) program and assist employees in returning to work post injury/illness.

How to Report a Work-Incurred Injury

Report the Injury via the Electronic First Report (EFR) System.

In order to use EFR, the following is required:

• UCLA Single Sign On – ID & Password
• Web Browser must be Firefox or Google Chrome (Not compatible with Internet Explorer)
• Employee must be in the employee database (EDB). This system cannot be used for volunteers

If you are unable to access EFR, then complete the Incident Report & Referral Form.

• Employee and Supervisor complete and sign the top two sections. Send the form with the employee to give to the medical provider.
• Submit a copy to: wcreports@irm.ucla.edu and hrpcnorthbenefitsLOA@ucla.edu.

For Housing and Hospitality Departments Only

Call TriageNow at 855-213-5436 to report the injury. A registered nurse with TriageNow will immediate assistance the injured employees via telephone to guide them to the correct level of care.

If clinical intervention is required, the referral for care will be made to the appropriate medical facility and that facility will be notified by TriageNow.

Further, for all claims, TriageNow staff will enter the claim into the Employer First Report (EFR) computer program so that the supervisor is no longer required to complete this task.

For serious or severe injuries, please contact 911. Report the injury to EHS at 310-825-9797 within 8 hours of the injury, please refer to this EHS poster for more information.  Serious injuries should be reported using the EFR within 24 hours of the injury. See the EFR instructions above.

Other Forms required when employee is seeking medical attention:

• Workers’ Compensation Claim Form (DWC-1) 
  • The Employee complete sections 1-8.
  • The Supervisor completes the bottom section 9 through 17.
  • Give the Employee a completed-signed copy.
  • Send the original form to hrpcnorthbenefitsLOA@ucla.edu

• WC Student Worker Employment Verification Form

OHF requires that all employees seeking treatment due to a workplace injury provide an employee identification card before treatment is provided.  Our student employees do not have an employee identification card so the WC Student Worker Employment Verification form will be used to confirm the student’s employee status. The WC Student Worker Employment Verification form must be completed and provided to a student employee prior to seeking treatment at OHF or treatment will be denied

• When an Injury Occurs Pamphlet
  • Provide a copy of the When an Injury Occurs Pamphlet to the employee.

Medical Facilities

If this a severe injury, please call 911.
Severe injuries and/or hospitalizations requiring an overnight stay require an immediate call to Environment Health & Safety at (310) 825-9797.

UCLA Occupational Health Facility (OHF)
67-120 Center for Health Sciences at 10833 Le Conte Avenue. Call (310) 825-6771
7:30 a.m. to 4:30 p.m. Monday – Friday

Other Contacts:
Insurance & Risk Management:
10920 Wilshire Blvd., Suite 860
Los Angeles, CA 90024-1352
Mail Code: 135248
Phone: (310) 794-6948
Fax: (310) 794-6957

More Information:
Workers’ Compensation FAQ’s for Employees
What to Do When a Visitor or Student Reports an Injury
If You Suspect Fraud, What Should You Do?