Forms

Employee Incident Report Form /
Immediately report to your supervisor all injuries, illnesses, exposures, and Near Misses
Option Form (SL⁄VL Authorization Form) /
Authorizes UC to use SL⁄VL to supplement WC payments
Reduced-Schedule Wages Report /
Upon return to a reduced-schedule, report hours worked to Sedgwick each week
Supervisor Incident Report Form /
Report all injuries, illnesses, exposures, and Near Misses within 24 hours
Time of Hire Pamphlet /
Distribute upon hire
Transitional Work Toolkit /
Create a Transitional Work Plan
UCSF Campus Pre-Designation of Personal Physician
Workers’ Compensation Posters /
Keep posted at all times