If you are injured…
In compliance with California Workers’ Compensation Law, an employer must report all work-related injuries or illnesses arising out of and in the course of employment and covered by the California Workers’ Compensation System. To comply with this law, all supervisors should complete the necessary forms below within 24 hours and adhere to the following workers’ compensation procedures.
Employees are covered for any injury/illness arising out of or in the course of employment. Sedgwick CMS is the Third Party (TPA) for the CSU Workers’ Compensation Program. The contact is Jennifer Baldi, phone (916) 852-2949 email: Jennifer.Baldi@sedgwick.com.
All job-related injuries or illnesses should be immediately reported to the employee’s supervisor and Risk Management at email@example.com . The supervisor should submit the Supervisor’s Injury Illness Report within 24 hours, and provide the injured worker with the link to Workers’ Compensation Claim Form (DWC 1) & Notice of Potential Eligibility.
The form can also be accessed at DWC 1 Form .
If the Campus is closed for an extended period of time, please fax the form to Sedgwick CMS at (916) 851-8089.
Medical treatment will be authorized by Risk Management when necessary. CSUSB has designated Healthpointe and Kaiser on the Job as medical facilities to provide medical treatment for injured employees. If an injury happens after normal business hours or the injury is severe, contact University Police to report and assist with medical transport to Saint Bernardine’s Medical Center.
Healthpointe Medical Facility
290 N. 10th St. #100
Colton, CA 92324
Kaiser on the Job
Inland Empire Area Fontana Medical Center
Medical Office Building 3, Basement
9961 Sierra Ave.
Fontana, CA 92335
Riverside Medical Center
Medical Office Building 1,
4th Floor, Module 4J
10800 Magnolia Ave.
Riverside, CA 92505