Workers' Compensation
Information and resources for employees who experience a work-related injury or illness.
Report workplace injuries and illnesses immediately, within 24 hours. An incident must still be reported even when the employee does not need medical treatment or chooses not to file a workers’ compensation claim.
Report a Workplace Injury or Illness
The employee and supervisor must each complete the appropriate incident report.
Employee Report
Report your workplace injury, illness, or incident using the Employee Injury/Incident Report.
Supervisor Report
Complete the supervisor investigation after learning of a workplace injury, illness, or incident.
Need medical treatment? View District medical facilities.
Workers’ Compensation Benefits
If a medical provider verifies that an employee cannot work because of a work-related injury or illness, the employee may be eligible for temporary disability benefits.
- Temporary disability benefits are subject to minimum and maximum amounts established by the State of California.
- The District provides 60 days of full salary continuation for an eligible industrial injury or illness.
- After the first 60 days, available sick leave, vacation, or other allowable paid leave may be used to supplement temporary disability benefits and continue full salary until available paid leave is exhausted.
Review the Workers’ Compensation Notice for additional information.
What Happens Next?
- Report the incident. The employee and supervisor submit their respective online reports as soon as possible.
- Receive instructions. Human Resources reviews the information and provides claim or medical-treatment instructions.
- Provide documentation. The employee submits medical documentation and keeps Human Resources informed of work status.
Frequently Asked Questions
Reporting an Injury or Illness
When should I report an injury or illness?
Report it immediately, within 24 hours.
Why should an injury or illness be reported immediately?
Delayed reporting may delay medical treatment, claim processing, and any workers’ compensation benefits for which you may be eligible.
How do I report my workplace injury or illness?
Notify your supervisor and complete the online Employee Injury/Incident Report. Your supervisor must separately complete the Supervisor Investigation Report.
My supervisor is unavailable. Who else can I notify?
Notify another administrator or contact Human Resources:
- Jessica Esclamado
- esclamadodavidj@smccd.edu
- (650) 358-6805
I initially chose not to file a claim, but I am now experiencing pain. What should I do?
Complete the online Employee Injury/Incident Report and contact Human Resources for instructions.
Medical Treatment
Can my personal physician treat me for a work-related injury?
Your physician may qualify as your predesignated personal physician when all of the following apply:
- The physician agrees to treat you for work-related injuries and completes the Personal Physician Predesignation Form .
- The physician previously directed your medical treatment and maintains your medical history and records.
- The physician agrees to follow workers’ compensation requirements.
When must I predesignate my personal physician?
The predesignation must be completed before a workplace injury or illness occurs.
Where do I go if I do not have a predesignated physician?
You may seek treatment from one of the providers listed on the District Medical Panel .
I only need first aid. Where should I go?
Go to the campus Health Center. The incident must still be reported.
I completed the forms but did not receive treatment, and the pain has returned. What should I do?
Contact Human Resources at esclamadodavidj@smccd.edu or (650) 358-6805 for assistance.
Claims and Benefits
What if I am concerned about the cost of reporting an injury?
Do not delay reporting because of concerns about cost. Delayed reporting may delay treatment and benefits, extend recovery time, and make the claim more difficult to process.
What happens if I need to be off work?
If a medical provider verifies that you cannot work because of a work-related injury or illness, Human Resources will coordinate your work status, temporary disability benefits, salary continuation, and any applicable use of paid leave.
Forms and Resources
Need Additional Help?
For questions about reporting an injury, medical treatment, claim documentation, salary continuation, or returning to work, contact Human Resources.
Jessica Esclamado
esclamadodavidj@smccd.edu
(650) 358-6805