Workers' Comp/Non-WC

Injury / Incident Reporting Procedures

Workers’ compensation is a mandatory insurance program provided by the University of Minnesota that provides for payment of medical expenses and lost wages for employees who suffer work-related injuries or illness. This system may also provide permanent disability benefits for those who qualify. Minnesota state law regulates which benefits are due to an injured employee. The University pays the full cost of the workers’ compensation program and contracts with Sedgwick Claims Management Services (SCMS) to administer the claims.


It’s important that supervisors are notified right away when an employee is injured during work.  Early reporting will allow the University and Sedgwick to communicate with the employee about additional resources as needed.   

First Report of Injury Form - (Electronic Form, preferred)

Temporary Prescription Drug ID Card - (PDF fillable version)


Minnesota Workers' Compensation System Employee Information Sheet
Frequently Asked Questions

Accidents (non-employee):
Bodily Injury/ Property Damage Report - (PDF fillable version)
Bio-Hazard-Related Injury - (HTML: Environmental Health and Safety Office) 

University Policies:
University of Minnesota Administrative Policy in Reporting Workers' Compensation Related Injuries

UMD Workers’ Compensation Procedure on Reporting and Management

Reporting a Workers' Compensation Injury

Employee Responsibilities

  • Immediately
    • Notify your supervisor. Your supervisor will assess the situation, assist with arranging proper medical care, and begin the injury reporting process.
  • Promptly cooperate with your supervisor for the completion of all relevant documents.

Supervisor Responsibilities

Referring the Employee for Medical Care:

When an injury requires medical attention, the University encourages the use of our Designated Medical Providers because these providers specialize in occupational medicine and are familiar with our Workers’ Compensation process. Under Minnesota law, an injured employee has the right to select their own treating physician. At times, the employee may be required to see a provider selected by the University.

Express Scripts administers the Prescription Drug Program for the University of Minnesota's Workers’ Compensation program. The Prescription Drug Program will eliminate co-pays and out-of pocket expenses for medications prescribed for an accepted Workers’ Compensation claim.

Employees who experience an aggravation or re-injury of a previous work-related injury also should be directed for medical treatment.

Forward all medical bills to the Claims Administrator for payment.

Returning the Employee to Work:

The Medical Provider must complete a Report of Workability (1) and give it to the employee and the Department of Human Resources. The Report of Workability will indicate when the employee can return to work and whether job modifications are required to accommodate physical restrictions. The employee will provide a copy of the Report of Workability to the UMD Worker’s Compensation Coordinator, who will update the supervisor with the employee’s work status.

  • Employees without restrictions can return to their usual work duties.

  • If the Medical Provider imposes work restrictions, the supervisor and Claims Administrator will review the job modifications that are required to comply with the restrictions. Every effort will be made to accommodate the employee's restrictions. If work is available within the restrictions, the employee will return to suitably modified work. The supervisor will monitor the employee's recovery on a weekly basis and report the employee's recovery progress to the Claims Administrator. It is also recommended that employee and/or department work with the Coordinator of the UMD UReturn Program.

Payroll Issues Concerning Work-related Accidents

There are two (2) ways an employee can choose to get paid when losing time from work for a work-related injury:

  1. The employee gets paid nothing from the U of M.  The employee does not have to use sick or vacation.  Sedgwick Claims Management Services, Inc. (Sedgwick, the insurance company) pays two-thirds of the employee's salary when their claim is approved.  The employee is not overpaid.

  1. The employee gets paid one-third of their salary from the U of M.  The employee uses sick or vacation leave for that one-third.  Sedgwick pays the employee two-thirds of their salary when the claim is approved.  The employee is not overpaid.

Please discuss with your department/unit payroll contact about which payroll option you want to select regarding pay for any lost time from work due to your injury.

OSHA On the Job Injury Reports - OSHA 300A

2015 OSHA 300A

2016 OSHA 300A