Workers' Compensation (How to Report and Injury/Receive Treatment)
Work-Related Injury Reporting and Medical TreatmentThis information is only for the use of University of Maryland employees and volunteers. If you are a student requiring medical care, please navigate to the following site: http://www.umaryland.edu/health/services.html
Medical treatment
| During business hours (Monday through Friday, 7 AM to 5 PM) |
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| After hours (Monday through Friday 5 PM to 7 AM, weekends and holidays) |
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| Out of state medical treatment |
| If you work outside Maryland, complete the out of state first report of injury form provided below. Advise the health care provider that you are seeking treatment for a workers' compensation claim and provide them with the carrier's name and policy number referenced on the first report of injury form. |
Note: Employees or volunteers covered under Maryland's workers compensation system may also seek treatment from a health care provider of their choice.
Reporting a work-related injury or illness
Work-related injuries and illnesses, regardless of whether medical treatment is required, should be reported to Environmental Health and Safety (EHS) within three (3) days of the incident. Prompt reporting ensures that the injured person receives the medical treatment and benefits entitled to them. To report an injury or illness:
- Notify your supervisor of the injury or exposure
- Complete the appropriate first report of injury form:
- Faculty or staff should complete the following form:
- Employee First Report of Injury (PDF) or (Online Form)
- Employee First Report of Injury (PDF) or (Online Form)
- Faculty or staff working outside of Maryland should complete the following form:
- Volunteers should complete the following form:
- Volunteer First Report of Injury (Online Form)
- Faculty or staff should complete the following form:
Note: If the PDF form is used, you must fax a completed copy to the attention of Angela Boxley at (410) 706-8212
Supervisor investigation report and accident witness(s) statement
The following forms should be completed by the injured person's supervisor and witness(s) to the event:
- Supervisor's Investigation Report (PDF) or (Online Form)
- Accident Witness Statement (PDF) or (Online Form)
Note: If the PDF form is used, you must fax a completed copy to the attention of Angela Boxley at (410) 706-8212
