Workers' Compensation

Welcome to the Office of Workers’ Compensation. If you are injured or become ill, either physically or mentally, because of your job, you may be entitled to workers' compensation benefits. Workers' compensation benefits are designed to provide you with medical treatment to cure or relieve the effects of a work related injury or illness, help replace lost wages if you are unable to work due to a work place injury/illness, and help you return to work at the earliest opportunity.

Depending on the nature of your claim, you may become eligible for one or more of the following benefits:
Medical Care: The claims administrator will pay for all reasonable and necessary medical care for your work related injury or illness. Medical benefits are subject to approval and may include treatment by a physician, hospital services, physical therapy, lab tests, x-rays, medicines, equipment and travel costs. The claims administrator will pay the costs of approved medical services directly so you should never see a bill. There are limits on chiropractic, physical therapy, and other occupational therapy visits.

Temporary Disability (Lost Wages)

If you can’t work while you are recovering from a work related injury or illness, you may receive temporary disability payments for a limited period. These payments may change or stop when your doctor says you are able to return to work. These benefits are tax-free. Temporary disability payments are two-thirds of your average weekly pay, within minimums and maximums set by state law. Payments are not made for the first three days you are off the job unless you are hospitalized overnight or cannot work for 14 or more days.

Permanent Disability

If a doctor says you have not recovered completely from your injury and you will always be limited in the work you can do, you may receive additional payments. The amount will depend on the type of injury, extent of impairment, your age, occupation, date of injury, and your wages before you were injured.

Supplemental Job Displacement Benefit (SJDB)

If you were injured on or after 1/1/2004, and your injury results in a permanent disability and your employer does not offer regular, modified, or alternative work, you may qualify for a nontransferable voucher for retraining and/or skill enhancement. If you qualify, the claims administrator will pay the costs up to the maximum set by state law.

Death Benefits

If the injury or illness causes death, payments may be made to a spouse and other relatives or household members who were financially dependent on the deceased worker.

What Should I do if I have a Job Injury?

Report the injury to your supervisor within 24 hours of occurance. If your injury or illness developed over time, report it as soon as you learn or believe it was caused by your job.

Reporting promptly helps prevent problems and delays in receiving benefits, including medical care you may need. Failing to do so will result in a delay of the investigation of the injury which could result in the loss of your right to receive workers' compensation benefits.

Get emergency treatment if you need it. Your employer may tell you where to go for treatment. Tell the health care provider who treats you that your injury or illness is job-related.

Fill out a claim form (DWC-1) along with a report of accident or incident form, and give to your supervisor or fax to Risk Management Services, (916) 278-2641.

Report of Accident or Incident Form

Get Medical Treatment (Beyond First Aid)

Emergencies: call 911 from a campus phone or (9136) 278-6000 from a cell phone.

Concentra Treatment Authorization Form
- Concentra Locations

Concentra has 5 locations available to ALL Employees:
Rancho Cordova	Rocklin	Sacramento Downtown	Sacramento North	West Sacramento
10670 White Rock Rd, Ste 100	2305 Sunset Blvd	1675 Alhambra Blvd, Ste B	4700 Northgate Blvd, Ste 100	3680 Industrial Blvd, Ste 550-H
Rancho Cordova, CA 95670	Rocklin, CA 95765	Sacramento, CA 95816	Sacramento, CA 95834	West Sacramento, CA 95691
916-364-1733	916-688-2005	916-451-4580	916-929-6161	916-373-1555
Hours: Mon-Fri 8:00am-5:00pm	Hours: Mon-Fri 8:00am-5:00pm	Hours: Mon-Fri 8:00am-5:00pm	Hours: Mon-Fri 7:00am-7:00pm	Hours: Mon-Fri 8:00am-5:00pm

Additional Medical Treatment Locations

Kaiser Treatment Authorization Form

Kaiser On The Job (KOJ) has 4 locations available to ALL Employees:
Sacramento Medical Center	South Sacramento Medical Center	Roseville Medical Center	Folsom Medical Offices
	Building 3, 2nd Floor	Building C	2nd Floor
2016 Morse Avenue	6600 Bruceville Road	1600 Eureka Road	2155 Iron Point Road
Sacramento, CA 95825	Sacramento, CA 95823	Roseville, CA 95661	Folsom, CA 95630
916-973-5499	916-688-2005	916-784-4000	916-817-5660
Hours: Mon-Fri 8:30am-5:00pm	Hours: Mon-Fri 8:30am-5:00pm	Hours: Mon-Fri 8:30am-5:00pm	Hours: Mon-Fri 8:30am-5:00pm

After Hours Treatment

KAISER AFTER-HOURS/URGENT CARE/HOSPITAL SERVICES
Sacramento Medical Center After-Hours/Urgent Care/Hospital Services	Roseville Medical Center After-Hours/Urgent Care/Hospital Services	South Sacramento Medical Center After-Hours/Urgent Care
		Level II Trauma Center
2025 Morse Avenue	1600 Eureka Road	6600 Bruceville Road
Sacramento, CA 95825	Roseville, CA 95661	Sacramento, CA 95823
916-973-6600	916-784-5380	916-688-2535
Hours: 24 hours a day, 7 days a week	Hours: 24 hours a day, 7 days a week	Hours: 24 hours a day, 7 days a week

You have the right to be treated by your personal physician if the physician is designated prior to the injury or illness. The physician must meet all the conditions set forth on the Employee Pre-designation of Personal Physician which are:

1. A written notice pre-designating the employee's personal physician or medical group is given in writing to the employee's employer prior to the date of injury for which treatment is sought and the notice includes the physician's name and business address;

2. The employee has healthcare coverage for non-occupational injuries or illnesses on the date of injury in a plan, policy or fund; and

3. The employee's personal physician or medical group agrees to be pre-designated prior to the dates of injury upon request, have your treatment transferred to your personal chiropractor or acupuncturist.

The designation remains in effect until written notice is received from the employee. Forms are available here:

Workers’ Compensation Resource Guide

Pre-designation of Personal Physician Form

Pre-designation of Personal Chiropractor or Acupuncturist Form