Worker's compensation benefits are provided to all employees for any work-relatedinjury or illness from the first day of employment at no cost to the employee. Inorder to avoid jeopardizing this benefit it is imperative that employees:

1. Immediately report all injuries to his/her supervisor, department chair ordean, regardless of how minor the injury may seem. Worker's compensation requires notification within 24 hours from date of injury.

2. Complete a "Employee's Claim for Worker's Compensation Benefits" available form HR.

• Worker's Compensation Claim Form (DWC 1). [1]
• Supervisor's Report of the Accident Form. [2]
• Employer's Report of Occupational Injury or Illness (Form DLSR 5020). [3]

Occupational Health Services Offered by Sutter:

http://www.sutterhealth.org/medicalspecialties/occupationalhealth/ [4]