Workers' Compensation

EFR Reporting Procedure

Report a Workers' Compensation Claim

Supervisor

  1. Call Workers’ Compensation (805.893.4440) ASAP if an employee needs medical treatment.
  2. “Create a Claim” by completing an Employee First Report (EFR). See EFR tutorial.
  3. Complete Employer Investigation. See EFR tutorial.
  4. In Employer Investigation, set a date to complete the “Preventive Actions”. See EFR tutorial.
  5. Call Workers’ Compensation (805.893.3145) if you have questions.

NOTE: Do not fax or email Incident Report to WC or call the claim into the Reporting Line.

Injured Employee

  1. Immediately report the injury to your supervisor.
  2. Call Workers’ Comp (805.893.4440) if you need medical treatment & your supervisor is not available.
  3. If supervisor is not available, “Create a Claim” by completing an Employee First Report (EFR). See EFR tutorial.
  4. Advise supervisor you have completed an EFR so they can complete the Employer Investigation.
  5. Call Workers’ Compensation (805.893.3145) if you have questions.

NOTE: Do not fax or email Incident Report to WC or call the claim into the Reporting Line.

Office Managers, Business Officers, etc.

  1. Call Workers’ Comp (805.893.4440) ASAP if employee needs medical treatment.
  2. Notify employee’s supervisor that an employee has been injured and the injury was reported.
  3. “Create a Claim” by completing an Employee First Report (EFR). See EFR tutorial.
  4. Notify employee’s supervisor that they must complete the Employer Investigation ASAP.
  5. Call Workers’ Compensation (805.893.3145) if you have questions.

NOTE: Do not fax or email Incident Report to WC or call the claim into the Reporting Line.

*The Employer’s First Report must be completed within 24 hours of the University’s first notice of incident.

IMPORTANT

Immediately contact Environmental Health & Safety (EH&S) at 805.893.3194 if any of the following occurs:

  • Worker fatality
  • Inpatient hospitalization
  • Loss of any body part (e.g., fingertip)
  • Serious injury

These incidents must be reported to OSHA within 8 hours of the event.

Further Information

If the employee’s injury or illness is medically determined to meet the State of California definition of injury as a workers’ compensation claim, the Workers’ Compensation Office will mail the employee a Workers’ Compensation Claim Form (DWC-1) with complete instructions.

Sedgwick CMS (Claims Management Services) administers the University’s workers' compensation claims. A Sedgwick CMS claims administrator will investigate the injury, and determine acceptance of the claim. If a representative from Sedgwick CMS contacts you, please provide any information requested. This includes departmental files, job description, or time records.

Reporting an injury or submission of a claim form does not imply automatic approval of the claim. Claims are approved by Sedgwick CMS for UCSB.

Please contact the Workers’ Compensation Office at 805.893.4440 for further information.