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WORKERS COMPENSATION DEPARTMENTEmployee Incident Report2111 MISSION AVENUE, OCEANSIDE, CA 920582326 PHONE: 7609664035 FAX: 7609677178FOR REPORTING INJURIES & ILLNESSES DURING WORK HOURSInstructions:
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How to fill out workers compensationuc davis health

01
Obtain the necessary workers' compensation forms from UC Davis Health or their designated provider.
02
Fill in the personal information section accurately, including full name, address, contact information, and social security number.
03
Provide detailed information about the injury or illness sustained while performing work-related duties.
04
Include dates of the incident, description of the injury, and any witnesses if applicable.
05
Submit the completed form to the appropriate department at UC Davis Health for processing.

Who needs workers compensationuc davis health?

01
Employees of UC Davis Health who have suffered a work-related injury or illness requiring medical treatment and compensation.
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Workers' compensation at UC Davis Health is a form of insurance providing wage replacement and medical benefits to employees who are injured on the job.
All UC Davis Health employees are required to file for workers' compensation if they are injured on the job.
Employees can fill out the workers' compensation form provided by UC Davis Health and submit it to the appropriate department.
The purpose of workers' compensation at UC Davis Health is to ensure that employees receive necessary medical treatment and compensation for work-related injuries.
Employees must report details of the injury, date and time of the incident, location, and any witnesses involved.
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